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A 16-year-old high school junior is brought to your clinic by his father. The teenager was taught in his health class at school to do monthly testicular self-examinations. Yesterday when he felt his left testicle it was enlarged & tender. He isn't sure if he has had burning with urination & he says he has never had sexual intercourse. He has had a sore throat, cough & runny nose for last 3 days. His past medical history is significant for a tonsillectomy as a small child. His temperature is 100.8 and his blood pressure and pulse are unremarkable. On visualization of his penis, he is uncircumcised & has no lesions or discharge. His scrotum is red & tense on left & normal appearing on the right. Palpating his left testicle reveals a mildly sore swollen testicle. Right testicle is unremarkable. An examining finger is put through both inguinal rings & there are no bulges with bearing down. His prostate examination is unremarkable. Urine analysis is unremarkable. What abnormality of the testes does this teenager most likely have?A) Acute orchitisB) Acute epididymitisC) Torsion of spermatic cord D) Prostatitis
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