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  #1  
Old 09-02-2012
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Question Testicular Pathologies

A 25-year-old army recruit presents with fever, scrotal swelling and painful testes of six days duration. The most likely diagnosis is:
a) Acute epididymitis
b) Mumps
c) Scrotal hernia
d) Testicular torsion
e) Tuberculous epididymo-orchitis

A 15-year-old boy presents with pain in both testes a week after developing painful facial swellings. The most likely diagnosis is:
a) Acute epididymitis
b) Mumps
c) Scrotal hernia
d) Testicular torsion
e) Tuberculous epididymo-orchitis
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  #2  
Old 09-02-2012
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q1) a

q2) b

............
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  #3  
Old 09-02-2012
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Yes you are Correct. But how do you differentiate mumps from epididymitis.... the 25 yo's symptoms can be due to mumps as well.
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Old 09-02-2012
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i think parotitis is a must for mumps.... others can give a better explaination though
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Old 09-02-2012
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The more common symptoms of mumps are:
Parotid inflammation (or parotitis) in 6070% of infections and 95% of patients with symptoms.[2] Parotitis causes swelling and local pain, particularly when chewing. It can occur on one side (unilateral) but is more common on both sides (bilateral) in about 90% of cases.[6]
Fever
Headache
Pancreatitis, referring to inflammation of the affected pancreas.
Orchitis, referring to painful inflammation of the testicles.[7] Males past puberty who develop mumps have a 30 percent risk of orchitis.[8]


http://en.wikipedia.org/wiki/Mumps
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  #6  
Old 09-02-2012
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Ya as mentioned above
1. A (seems most commonly seen, thats why)
2. B (because of mumps in facial area)
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