06-11-2007, 10:39 AM
7. A previously healthy 16-year-old boy comes to
the physician
because of persistent pain in his left testicle for 24
hours. He has not
had any penile discharge. There is no history of
trauma, but he plays
soccer every day. Two months ago, he had sexual
intercourse for the
first time, and he used a condom. Examination shows
an edematous,
erythematous, exquisitely tender left scrotum that is
lower than the right.
Elevating the left testicle relieves the pain. The
cremasteric reflex is
present. Urinalysis shows 10 leukocytes/hpf and 1+
leukocyte esterase.
A technetium 99m scan shows increased uptake in the
left testicle.
Which of the following is the most likely cause of the
pain?
A
) Cystitis
B
) Epididymitis
C
) Spermatocele
D
) Testicular torsion
E
) Testicular tumor
the physician
because of persistent pain in his left testicle for 24
hours. He has not
had any penile discharge. There is no history of
trauma, but he plays
soccer every day. Two months ago, he had sexual
intercourse for the
first time, and he used a condom. Examination shows
an edematous,
erythematous, exquisitely tender left scrotum that is
lower than the right.
Elevating the left testicle relieves the pain. The
cremasteric reflex is
present. Urinalysis shows 10 leukocytes/hpf and 1+
leukocyte esterase.
A technetium 99m scan shows increased uptake in the
left testicle.
Which of the following is the most likely cause of the
pain?
A
) Cystitis
B
) Epididymitis
C
) Spermatocele
D
) Testicular torsion
E
) Testicular tumor