A sexually active, previously healthy 25 year old man comes to GP due to sudden severe pain in his groin. Had unprotected sex few days ago. Temp is 100.4 F puls 96 resp 14, BP 128/80. Exam shows scrotum si red, hot and swollen. White discharge is present. Cremasteric reflex is intact. no nodules or masses are palpated in scrotum and no inguinal lymphadenopathy. no rashes or lesiosn on skin exam. 1. What condition does he likely have? 2. What are the most likely causitive organism? 3. What is treatment? 4. If cremasteric reflex was absent what would be your suspicion of that pathology?

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The development of the reproductive system begins with the formation of undifferentiated gonads and the paired mesonephric and paramesonephric ducts.


1. A sexually active, previously healthy 25 year old man comes to GP due to sudden severe pain in his groin. Had unprotected sex few days ago. Temp is 100.4 F puls 96 resp 14, BP 128/80. Exam shows scrotum si red, hot and swollen. White discharge is present. Cremasteric reflex is intact. no nodules or masses are palpated in scrotum and no inguinal lymphadenopathy. no rashes or lesiosn on skin exam. 1. What condition does he likely have? 2. What are the most likely causitive organism? 3. What is treatment? 4. If cremasteric reflex was absent what would be your suspicion of that pathology?