ACUTE EPIDIDYMO-ORCHITIS
A 27 year old man develops bilateral parotid gland swelling and orchitis, and is generally ill with fever of 102° F. Which of the following substances is most likely to be significantly elevated in the patient’s serum?
| A |
Alanine aminotransferase (ALT) |
|
| B |
Amylase |
|
| C |
Aspartate aminotransferase (AST) |
|
| D |
Ceruloplasmin |
A 27 year old man develops bilateral parotid gland swelling and orchitis, and is generally ill with fever of 102° F. Which of the following substances is most likely to be significantly elevated in the patient’s serum?
| A |
Alanine aminotransferase (ALT) |
|
| B |
Amylase |
|
| C |
Aspartate aminotransferase (AST) |
|
| D |
Ceruloplasmin |
A sexually active 25-year-old man develops epididymitis and orchitis. Needle biopsy demonstrates a prominent leukocytic infiltrate with numerous neutrophils. Which of the following organisms is the most likely cause of this man’s infection?
| A |
Escherichia coli |
|
| B |
Mycobacterium tuberculosis |
|
| C |
Neisseria gonorrhoeae |
|
| D |
Pseudomonas sp |
A sexually active 25-year-old man develops epididymitis and orchitis. Needle biopsy demonstrates a prominent leukocytic infiltrate with numerous neutrophils. Which of the following organisms is the most likely cause of this man’s infection?
| A |
Escherichia coli |
|
| B |
Mycobacterium tuberculosis |
|
| C |
Neisseria gonorrhoeae |
|
| D |
Pseudomonas sp |
Orchitis without epididymitis is seen in ‑
| A |
Gonorrhoea |
|
| B |
Tuberculosis |
|
| C |
Syphilis |
|
| D |
Chlamydia infection |
Orchitis without epididymitis is seen in ‑
| A |
Gonorrhoea |
|
| B |
Tuberculosis |
|
| C |
Syphilis |
|
| D |
Chlamydia infection |
Ans. is ‘c’ i.e., Syphilis
In differential diagnosis of epididymo-orchitis & torsion it is important that –
| A |
Elevation of testis in torson relieves pain |
|
| B |
Elevation of testis in epididymo orchitis relieves pain |
|
| C |
Tenderness is characteristic of torsion of testis |
|
| D |
Fever is characteristic of epididymo orchitis |
In differential diagnosis of epididymo-orchitis & torsion it is important that –
| A |
Elevation of testis in torson relieves pain |
|
| B |
Elevation of testis in epididymo orchitis relieves pain |
|
| C |
Tenderness is characteristic of torsion of testis |
|
| D |
Fever is characteristic of epididymo orchitis |
Ans. ‘b’ Elevation of testis in epididymo orchitis relieves pain
Which of the following causes orchitis without epididymitis:
March 2009
| A |
Syphilis |
|
| B |
TB |
|
| C |
Gonorrhoea |
|
| D |
Chlamvdia trachomatis |
Which of the following causes orchitis without epididymitis:
March 2009
| A |
Syphilis |
|
| B |
TB |
|
| C |
Gonorrhoea |
|
| D |
Chlamvdia trachomatis |
Ans. A: Syphilis
In most cases of acute orchitis, the testicle is inflamed due to the spread of a bacterial infection from the epididymis, and therefore “epididymo-orchitits” is the correct term.
Acute epididymo-orchitis is usually a primary bacterial or rarely a tuberculous infection of the epididymis that has spread to the testicle to involve both structures.
Rarely, it can start in the testicle and spread to the epididymis.
Chlamydia trachomatis is the most common cause of sexually transmitted disease causing acute epididymitis, though gonococcal is still prevalent.
TB epididymitis should be considered when the vas is thickened and there is little response to the ususal antibiotics. Acute epididymo-orchitits develops in about 18% of males suffering from mumps, usually as the parotid swelling is waning. Orchitis may be seen in syphilis and leprosy
A 27 year old man develops bilateral swelling of this part markedd with arrow and orchitis, and is generally ill with fever of 102° F. Which of the following substances is most likely to be significantly elevated in the patient’s serum
| A |
Alanine aminotransferase (ALT) |
|
| B |
Amylase |
|
| C |
Aspartate aminotransferase (AST) |
|
| D |
Ceruloplasmin |
A 27 year old man develops bilateral swelling of this part markedd with arrow and orchitis, and is generally ill with fever of 102° F. Which of the following substances is most likely to be significantly elevated in the patient’s serum
| A |
Alanine aminotransferase (ALT) |
|
| B |
Amylase |
|
| C |
Aspartate aminotransferase (AST) |
|
| D |
Ceruloplasmin |
this structure is Parotid gland
