USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
An 26-year-old man comes to the emergency department because of scrotal pain. He has had progressive swelling and tenderness to the right testicle for several days. It has been associated with a low-grade fever, and mild burning with urination. He admits to having unprotected sexual intercourse with multiple partners. Physical examination is remarkable for a tender, swollen right testicle. The cremasteric reflex is intact bilaterally. There is no urethral discharge. A scrotal ultrasound is performed that shows increased blood flow to the right testicle. Which of the following is the most appropriate management in this patient?