|Suggested Pre-Referral Evaluation and Management Guidelines
Acute onset < 24 hours: If concern over testicular torsion, needs emergent Urological Evaluation. Emergent referral to Emergency Department.
Discretionary use of narcotics
|Suggested Additional Test/Management Prior to Specialty Visit
Acute onset: if concern over testicular torsion- needs emergent Urologic evaluation. Needs emergent referral to Emergency Department.
Concern over possible testicular tumor: needs urgent Urologic evaluation; scrotal ultrasound. and Bhcg, AFP, LDH prior to appointment.
Likely epididymitis/orchitis (not STD-related): Levaquin 500mg daily for 10 days or Cipro 500mg BID for 10 days. If STD suspected, see CDC guidelines
Persistent testicular pain (>6-8 weeks): symptomatic management.
|Patient Education/Information (includes preps)
Acute onset < 24 hours: Emergent referral to Emergency Department.
Concern over possible testicular tumor: If patient has had a scrotal ultrasound consistent with testis tumor, schedule as urgent within 48 hours.
Post-vasectomy, post-treatment for epididymitis: within 2-3 weeks (after completion of any antibiotic course).
Persistent testicular pain: next available.
|How to Get Results to Consultant
||UMHS Patients: See MiChart.
External Patients: Fax relevant clinic notes, laboratory results, diagnostic test results, operative notes to 734-232-1610
|Clinic Contact Information
|Clinic Location Sites
||Brighton Health Center
Livonia Center for Specialty Care
Taubman Healthcare Center
Ypsilanti Health Center
|UM Consulting Physician
Diane Marie Collin, PA
John Thomas Wei, MD
Joel J. Heidelbaugh, MD
Masahito Jimbo, MD
Dana Alan Ohl, MD
Susanne Anne Quallich, NP
Karl Thomas Rew, MD
Chandy Ellimoottil, MD
James Dupree, MD
Mike Kozminski, MD
Stanley Gitau Mukundi, PA