Concluded Case

"FUNICULITIS" THICKENED RIGHT SPERMATIC CORD

A 45 years old male patient, complaining with pain abdo, fever č general weakness. Chief Complaints Severe pain abdo, pain testicle to groin region, History Painful coitus Vitals BP 90/ 60 mmHg Pulse 110bpm RR 18bpm Temp. 101° F Physical Examination CGW Chest B/L clear Abdo. soft OF NAD Investigations Reports are submitted Management Inj. Pantop Inj. Xone XP Inf. Metrogyl Inj. Mikacin Tab. Chymoral forte Inj. Butodol

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Concluded answer

Apparently funiculitis, / Epididymoorchitis

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SUGGESTIVE. OF ..FUNICULITIS.... WITH. OR. WITHOUT U. T. I... NICELY. MANAGED SIR... USUALLY. IS SECONDARY. TO.... GONORRHEA AND CHLAMYDIAL. INFECTION.... IF. ....THERE. IS. CONTACT. HISTORY ....

Thank you dear sir
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Thickened spermatic cords bilateral Mostly venereal infection is cause Better evaluate for STD Meanwhile Tab levofloxacine 750mg 1od for 10 days Cap doxycycline 100mg 1od Antiinflamatory +serratiopeptidase Scrotal support Avoid sexual activity till symptoms resolved

Thanx dr Pushkar ji Bhomia
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Funiculitis rt spermatic cord History of exposure Usg color Doppler scrotum Prostate or mumps history Inj ceftriaxazone250 im Doxy 100 bd14 days

Epidydmitis

? SPERMATIC CORD .. PATHOLOGY.. ? FUNICULITIS..

Apparently funiculitis, / Epididymoorchitis

Thanks Dr. Dinesh GuptaDr Pushker Bhomia, Dr. Vishwadeep Kaushik
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Thickening both side spermatic cord is due to Ch venerel inf Use inj cefataxam 1gm I'm T ibugesic so bds Scrotal support See associated uTI then TT

Funiculitis means inflammation of the spermatic cord. Differential diagnosis of filarial funiculitis includes indirect inguinal hernia, hydrocele, spermatocele, hematocele, lipoma, tuberculosis, and filariasis. Other Tests: CBC count: Patients with patent filarial funiculitis commonly have marked eosinophilia. Serum immunoglobulins: Elevated serum levels of immunoglobulin E (IgE) and immunoglobulin G4 (IgG4) are seen with filarial funiculitis. Commercial tests to detect circulating filarial antigen (CFA) using monoclonal antibodies are widely available. Urine examination: Chyluria may be detected macroscopically, and microfilariae may be detected via microscopic examination of voided urine. Proteinuria and hematuria may also be seen with microfilarial infection with renal involvement. Peripheral blood examination: Microfilariae may be detected via microscopic examination of peripheral blood. Microfilariae demonstrate a circadian pattern that varies by endemic region, necessitating serum sampling that coincides with periods of activity. Activity may be provoked with administration of DEC. Imaging: An ultrasound of the inflamed testicle or both can tell the difference between orchitis and testicular torsion, another painful condition. Treatment: A course of antibiotics is usually advised as soon as filarial funiculitis is diagnosed. These normally work well. Pain usually ceases within a few days, but swelling may take a week or so to go down, sometimes longer. The choice of the antibiotic depends on the underlying cause of the infection. Common side effects of antibiotics include upset stomach and diarrhea. Applying a cold compress to the scrotum also helps reduce the inflammation. It also soothes any irritation you might be experiencing. Practice good hygiene and use mild soaps when bathing and wash undergarments in mild detergents; this helps ease the irritation. Home Remedies: It is recommended that individuals suffering from filarial funiculitis drink a cup of dandelion tea every day. The tea helps ease swelling. Ancient and traditional schools of medicine also recommend herbs like Echinacea, Caltrop and Yellow Duck as a remedy for Filarial funiculitis. These are available in forms of tinctures and capsules. They possess strong antibiotic, immune enhancing, and antibacterial properties.

Ceftriaxone 250 mg IM in a single dose. PLUS. Levofloxacin 500 mg orally once a day for 10 days. OR. Ofloxacin 300 mg orally twice a day for 10 days

Rx Galo ghan tab 1bd Kanchnar guggul 2bd Bangshil tab 2bd Fortage tab 2bd SH 1bd

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