Testicular Pain Sample Patient Note

  breadcrumb arrow   Rahul's Noteblog   breadcrumb arrow   USMLE CS Notes and Mnemonics   breadcrumb arrow   Testicular Pain Patient Note

HPI

32 YO M C/O PAIN AT THE TOP OF THE RIGHT TESTICLE (6/10, ACHING, NON-RADIATING, BEGAN 2 DAYS AGO); PAIN IS GETTING WORSE WITH TIME; NO PAST EPISODES; PAIN BEGAN SUDDENLY AND IS CONTINUOUS; PAIN IS ACCOMPANIED BY URETHRAL DISCHARGE (YELLOW, 1 TEASPOON, NO BLOOD, CREAMY, FOUL ODOR, BEGAN 2 DAYS AGO) AND BURNING ON URINATION (THROUGHOUT URINATION, NO BLOOD IN URINE, BEGAN 2 DAYS AGO). NOTHING MAKES THE PATIENT'S CONDITION BETTER OR WORSE. PATIENT DENIES URINARY FREQUENCY, URGENCY, NOCTURIA, INFECTIONS, FATIGUE, FEVER, CHILLS, PAIN ON URINATION, FEELING OF INCOMPLETE BLADDER EMPTYING, WEAK URINARY STREAM, PAST HX OF RENAL STONES, STDS, OR URINARY INCONTINENCE.

ROS- NO BURNING, NUMBNESS, WEAKNESS, NIGHT SWEATS, NO CHANGES IN BOWEL HABITS, NO JOINT PAIN, RASH, INFECTIONS.

PMH/PSH- NOT CONTRIBUTORY

NKDA

MEDICATIONS/HOSPITALIZATIONS- NONE

MULTIPLE SEXUAL PARTNERS/INCONSISTENT CONDOM USE/NO SMOKING/DRINKING/DRUGS/MARRIED

FH- NOT CONTRIBUTORY

PHYSICAL EXAM

GA- PATIENT IN MILD DISTRESS

HEENT- NC/NT, PINK CONJUNCTIVA, PINK PHARYNX

NECK- NO LUMPS, NO THYROMEGALY

ABDOMEN- NO SCARS, NO DEFORMITIES, SOFT, NT/ND, BS+, TYMPANIC 4X, PSOAS-, MURPHY-, REBOUND-, CVA TENDERNESS-.

DIFFERENTIAL DX

ORCHIEPIDIDYMITIS

HISTORY PHYSICAL EXAM
RIGHT TESTICULAR PAIN
BEGAN 2 DAYS AGO
BURNING ON URINATION
URETHRAL DISCHARGE
NOTHING MAKES IT BETTER OR WORSE
SEXUALLY ACTIVE
MULTIPLE SEXUAL PARTNERS
INCONSISTENT CONDOM USE
NO FEVER
NO CHILLS
NO WEAK URINARY STREAM
NO FREQUENCY
NO NOCTURIA
NO FEELING OF INCOMPLETE BLADDER EMPTYING
NO WEAK URINARY STREAM

GONOCOCCAL URETHRITIS

HISTORY PHYSICAL EXAM
RIGHT TESTICULAR PAIN
BEGAN 2 DAYS AGO
BURNING ON URINATION
URETHRAL DISCHARGE
NOTHING MAKES IT BETTER OR WORSE
SEXUALLY ACTIVE
MULTIPLE SEXUAL PARTNERS
INCONSISTENT CONDOM USE
NO FEVER
NO CHILLS
NO WEAK URINARY STREAM
NO FREQUENCY
NO NOCTURIA
NO FEELING OF INCOMPLETE BLADDER EMPTYING
NO WEAK URINARY STREAM

TESTS

GENITAL EXAM

TESTICULAR U/S

URETHRAL CULTURE

UA

CBC

ELECTROLYTES

KUB

Additional Readings:

USMLE CS Sample Patient Notes

1. Testicular Pain
2. Mid-Epigastric Pain
3. Back Pain

USMLE Step 2 CS Videos

1. Video of Cardiology Examination in a Clinical Setting
2. Video of Neurology Examination in a Clinical Setting
3. Video of Pulmonology Examination in a Clinical Setting
4. Video of Musculoskeletal Examination in a Clinical Setting
5. Video of Abdominal Examination in a Clinical Setting
6. Video of HEENT Examination in a Clinical Setting
7. Video and Description of Rinne Hearing Test
8. Video and Description of Weber Hearing Test

Medical Images

Useful Medical Images & Diagrams (link opens in a new window)

Random Pages:

Voices from Hell: My Experience in Mussoorie, India How To Optimize Your Web Server
Video of me playing Hagood Hardy`s "The Homecoming" Notes on Lymphoid Tissue
Notes on Abdomen, Pelvis, and Perineum Notes on Actinomyces
Notes on Lipid Mobilization and Catabolism Causes and Complications of Arteriovenous Fistulas
Significance of Glycosylated Hemoblogin (HbA1c) Notes on Types of Jaundice
Notes on Basic Gastrointestinal Physiology Life in a Drop of Water
Review of Delta Roma Imperiale Fountain Pen What is an ELEK`s Test?
Why did I decide to become a doctor? Medical School Admissions Essay Video: Titanic Piano Theme: The Portrait
Corporate Failure: The Enron Case My Experience during the Iraqi Invasion of Kuwait
USMLE Blood Lab Values Regulation of Heart Rate by Autonomic Nervous System
Images of Antibodies What is Steady State Concentration?
Notes on Gastrointestinal System Differentiation and Anatomy of a Blastocyst
Notes on Cell Components Notes on Nervous Tissue
Voices from Hell: My Experience in Mussoorie, India Video of Cardiology Examination in a Clinical Setting

Please Do Not Reproduce This Page

This page is written by Rahul Gladwin. Please do not duplicate the contents of this page in whole or part, in any form, without prior written permission.