A 22-year-old unemployed roofer presents to your clinic, complaining of pain in his testicle & penis. He states the pain began last night & has become worse. He states it hurts when he urinates & he has not attempted intercourse since the pain began. He has tried Tylenol & ibuprofen without improvement. He has had 4 previous sexual partners and has had a new partner for the last month. She is on oral contraceptives so he has not used condoms. His temperature is 100.2. On visualization of the penis he is circumcised, with no lesions or discharge from meatus. Visualization of scrotal skin appears unremarkable. Palpation of testes shows severe tenderness at superior pole of normal-sized left testicle. He also has tenderness when you palpate the structures superior to the testicle through the scrotal wall. The right testicle is unremarkable. An examining finger is placed through each inguinal ring without bulges being noted with bearing down. His prostate examination is unremarkable. Urine analysis shows white blood cells & bacteria. What diagnosis of the male genitalia is most likely in this case?A) Acute orchitisB) Acute epididymitisC) Torsion of spermatic cord D) Prostatitis

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