An 18-Year-Old Man Comes to the Office Due to 2

question 216

Multiple Choice

An 18-year-old man comes to the office due to 2 days of right testicular pain.  The pain is constant and exacerbated by movement.  Vital signs are within normal limits.  On physical examination, there is swelling and tenderness to palpation localized only to the posterior and superior areas of the right testis.  The left testis is normal.  Cremasteric reflexes are intact bilaterally.  Urinalysis shows numerous leukocytes but no bacteria.  Which of the following factors most likely contributed to this patient's current condition?

• A)Inadequate childhood vaccination
• B)Increased gonadal venous pressure
• C)Lack of normal testicular fixation
• D)Unprotected sexual intercourse
• E)Urethral colonization by coliforms

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