a 25 year old male complains of intensifying pain in his left flank radiating to his left groin


Question Number 0973
Question:
a 25 year old male complains of intensifying pain in his left flank radiating to his left groin. The pain increases with micturition and is accompanied by a urtheral discharge. On examination he is feverish and has tenderness over the left groin, lower abdomen, and scrotum radiating along the right spermatic cord. He has a leukocytosis of 20,000/mm3. The most appropriate next step would be
a) nonsteroidal anti-inflammatory agents
b) ceftriaxone and doxycycline
c) narcotic analgesics
d) inguinal-scrotal ultrasound
e) prompt surgical exploration


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