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Discussion Starter · #1 ·
‎22-yr-old man has 36 hr. history of pain & swelling of his left testis. One week ago he had mild dysuria and urethral discharge. Gram's stain of material from urethra shows numerous neutrophils but no organisms. The most likely cause of this patient's symptoms is infection with:
A. Chlamydia trachomatis
B. Cytomegalovirus
C. E.coli
D. Herpesvirus
E. Mumps virus
F. Neisseria gonorrhoea
G. Trichomonas vaginalis
 

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Could you explain in brief..?
Thanks
g) Trichomonas vaginalis in men with urethritis and prostatis, yellowish green discharge in female, saline wet mount test. So not an option.
f) as soon as q says organisms not found,pmn+..go for f) and a)...but a) does not stain due to thin capsule so i thought a)
remaining are virus and they dont cause that features
Ecoli produce diarrhea....

organism seen within wbc is neisseria donut shape... so not option...
what is the answer and explaination given for this... please??
 

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Discussion Starter · #6 ·
g) Trichomonas vaginalis in men with urethritis and prostatis, yellowish green discharge in female, saline wet mount test. So not an option.
f) as soon as q says organisms not found,pmn+..go for f) and a)...but a) does not stain due to thin capsule so i thought a)
remaining are virus and they dont cause that features
Ecoli produce diarrhea....

what is the answer and explaination given for this... please??
bebix can you explain your choice??
 

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‎22-yr-old man has 36 hr. history of pain & swelling of his left testis. One week ago he had mild dysuria and urethral discharge. Gram's stain of material from urethra shows numerous neutrophils but no organisms. The most likely cause of this patient's symptoms is infection with:
A. Chlamydia trachomatis
B. Cytomegalovirus
C. E.coli
D. Herpesvirus
E. Mumps virus
F. Neisseria gonorrhoea
G. Trichomonas vaginalis
the ans is A
 

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The ans is A
 

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‎22-yr-old man has 36 hr. history of pain & swelling of his left testis. One week ago he had mild dysuria and urethral discharge. Gram's stain of material from urethra shows numerous neutrophils but no organisms. The most likely cause of this patient's symptoms is infection with:
A. Chlamydia trachomatis
B. Cytomegalovirus
C. E.coli
D. Herpesvirus
E. Mumps virus
F. Neisseria gonorrhoea
G. Trichomonas vaginalis
A. Chlamydia trachomatis
 

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Definitely A. Chlamydia is an obligate intracellular organism so they don't gram stain. I use the mnuemonic: These Rascals Microscopically Lack Color for Treponema, Ricketssia, Mycoplasma, Legionella, and Chlamydia that don't gram stain well.
 
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