Orchitis

SPOT DIAGNOSIS. AYUSH MANAGEMENT. . WBC 18000. SINCE YESTERDAY. FEVER 102°F. TWO EPISODE OF VOMITING. BP 100/60. . H/O APPLYING NEEM+RUTA LEAVES FOR TINEA INFECTION. . THE BOY IS mentally retarded.

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TINEA CRURIS with ? ORCHITIS. See for MUMPS. Scrotum is severely Inflammed which is s/o secondary bacterial infection. Leucocytosis and fever confirms secondary Infection.

This is severely inflamed it will turn in Fournier gangrene if ignored
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Rhux Tox 30

Reddish discolouration of scrotum a/w fever and Leucocytosis as par picture suggestive of cellulitis, To say epidydmoorchitis we need to confirm testicular tenderness, and cystic swelling, USG Scrotum. Moreover in epidydmoorchitis colour and temperature of scrotal skin is normal. Dear doctor you are the best judge because you can examine the patient throughly and can take good history.

Had a similar case where the surgeon diagnosed as cellulitis following bacterial infection .He had a previous history of gullein barre syndrome from which he recovered and re entered the official duty with out much rest..and on case taking its understood that the current situation after over exertion so gave Rhustox 1M repeated in aqua and the inflammation and pain relieved.
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Ring worm infection of the scrotum with pus infection cos the patient is suffering from fever a sign of infection whats you opinion @Dr. M.s.b Babu @Dr. P. G. Shah

Same opinion dr.. Agreed
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Sir I think abscess form in scrotum..... SO rule out by FNAC OR USG....FOR CONFIRMATION. THEN TT ACC TO REPORT@Dr. Akshay Ingole sir

May be the case of Orchitis.... Patient need admission.... I am not confident for AYUSH management at this age... Boy is already mentally retarded and we can't advise Rasoshadhiya in this age....

Tinea Cruris with Epididymo Orchitis Check h/o Mumps..also good to go for FNAC USG SCROTUM ABD PELVIS on TOTALITY can start Beautiful Case you know the Rx@Dr. Akshay Ingole

Ruta leaves available in India...?What is the local hindi name....I never knew this....gr8!
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Tinea cruris

Scrotum is severely Inflammed which is s/o secondary bacterial infection. Leucocytosis and fever confirms secondary Infection. Nd needs spcl care so adv this patient in hospital

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