Swelling over right side testis,pain n tenderness present, scan reveals epidydymo orchitis,trea

A 64 year old male presented to clinic with complaints of right scrotal swelling accompanied with fever and pain *Chief Complaints* He adds that he has been having swelling for a long time, but it is only this time that it has progressed so much with pain and he also had an episode of hematuria and dysuria few days back *History* He had been under treatment for prostatomegaly as his prostate volume was high and PVRU significant as per his USG KUB *Vitals* Vitals are normal, but he gets fever almost everyday around 100 to 101 F *Investigations* USG scrotum report is attached Patient has a USG KUB which revelaed prostatomegaly He is unwilling to undergo further tests which I advised like CBC, and Urine R,M,CS *Management* Meanwhile, I have started him on following - Oflox 100ml IV BD, Ceftriaxone 1gm IV BD, Tab Ultracet HS, Tab Dolopar 500 if fever more than 100 F Chymoral forte TDS Analgesia of choice in such cases? Antibiotic of choice in such cases? Kindly give your opinion on this case for diagnosis and line of management 🙏 I am suspecting it as a case of secondary hydrocoele due to Orchitis

spot diagnosis and treatment. pain swelling fever present

The name Chandraprabha is given due to – Chandra refers to moon, this tablet is as calming and effective as the aura of moon. With the word Chandraprabha, 3 herbs are considered. Karpoora – Camphor – Cinnamomum camphora (as per Kashiram, Gudardha Deepika commentary on Sharangdhara Samhita). Camphor is the most commonly used ingredient. Kapoor Kachur – Shati – Hedychium spicatum (as per Rasendra Sara Sangraha, by Kirhna Gopala Bhatta) Bakuchi – Psoralea corylifolia (as per Vaidyaka Shabda Sindhu) Classical Indications of Chandraprabha Vati Prameha – Urinary tract disorders, diabetes Mutrakrichra – dysuria, difficulty to pass urine Mutraghata – urinary obstruction Ashmari – urinary calculi Vibandha – constipation Anaha – bloating, gaseous distension of abdomen Shoola – abdominal colic Meha – urinary tract disorders, diabetes Granthi – tumor, fibroid Arbuda – cancer Andavruddhi – orchitis Pandu – Anemia, initial stages of liver disorders Kamala – jaundice Haleemaka – Liver cirrhosis Antravruddhi – Hernia Kati shoola – low back ache Shwasa – asthma, respiratory disorders involving difficulty in breathing Kasa – cold, cough Vicharchika – eczema Kushta – skin diseases Arsha – Hemorrhoids Kandu – itching Pleehodara –splenomegaly, enlarged spleen Bhagandhara – fistula in ano Dantaroga – teeth disorders Netraroga – eye disorders Artavaruja – Painful periods, menorrhagia Shukra Dosha – semen, sperm anomalies Mandagni – low digestion strength Aruchi – Anorexia, lack of interest in food Balances Vata, Pitta and Kapha Dosha Vrushya – aphrodisiac Rasayani – anti aging, rejuvenative Ghatak Dravya of Chandraprabha Vati Karpura – Camphor – Cinnamomum camphora Vacha – Acorus calamus Musta – Nut grass (root) – Cyperus rotundus Bhunimba – The Creat (whole plant) – Andrographis paniculata Amruta – Indian Tinospora (stem) – Tinospora cordifolia Daruka – Himalayan cedar (bark) – Cedrus deodara Haridra – Turmeric rhizome – Curcuma longa Ativisha – Aconitum heterophyllum Darvi – Tree Turmeric (stem) – Berberis aristata Pippalimoola – Long pepper root – Piper longum Chitraka – Lead Wort (root) – Plumbago zeylanica Dhanyaka – Coriander – Coriandrum sativum Haritaki – Chebulic Myrobalan fruit rind – Terminalia chebula Vibhitaki – Belliric Myrobalan fruit rind – Terminalia bellirica Amalaki – Indian gooseberry fruit – Emblica officinalis Gaertn. Chavya – Java Long Pepper – Piper chaba Vidanga – False black pepper – Embelia ribes Gajapippali – Java Long Pepper (fruit) – Piper chaba Shunti – Ginger Rhizome – Zingiber officinalis Maricha – Black pepper – Piper nigrum Pippali – Long pepper fruit – Piper longum Makshika Dhatu Bhasma – Purified Copper Iron Sulphate Yava Kshara – Kshara of Barley – Hordeum vulgare Swarjika Kshara Saindhava Lavana – Rock salt Sauvarchala Lavana – Sochal salt Vida Lavana – Vida salt 12 g fine powder of each of Trivrit – Operculina turpethum Danti – Baliospermum montanum Patra – Cinnamomum tamala Twak – Cinnamon – Cinnamomum zeylanicum Ela – Cardamom – Elettaria cardamomum Vamshalochana – bambusa bambos Loha Bhasma – Iron Bhasma – 24 g 48 g fine powder of each of Sita – Sugar Shilajatu – Asphaltum – 96 g Guggulu – Indian bedelium – Commiphora mukul – 96 g Reference: Sharangdhara Samhita Madhyama Khanda 7/40 – 49, Bhaishajyaratnavali. Hope It will help you.....

33 y/o female with chest pain, difficulty on breathing, and heart palpitation. diagnosis???

A male 25yrs Itching and redness from 2mth plz suggest Diagnosis and treatment.