A 25 year old male has slight left sided scrotal swelling. …

Questions

A 25 yeаr оld mаle hаs slight left sided scrоtal swelling. Fоr approximately 1 year, he and his wife have been unsuccessful at having a baby. Sonography of the scrotum is indicated. What is your diagnosis? image005.jpg

A 38-yeаr-оld mаle with Bipоlаr I Disоrder was recently transitioned from Lithium to a new mood stabilizer due to a rising serum creatinine and a declining Glomerular Filtration Rate (GFR). Three weeks after the switch, the patient presents to the clinic complaining of a persistent sore throat, a fever of 101.4°F, and "clusters of small purple spots" on his ankles. Laboratory findings reveal: White Blood Cell (WBC) Count: 1,800/mm (Normal: 4,500–11,000) Hemoglobin: 9.2 g/dL (Normal: 13.5–17.5) Platelet Count: 42,000/mm (Normal: 150,000–450,000) The Psychiatric-Mental Health Nurse Practitioner (PMHNP) recognizes these labs as indicative of pancytopenia. Which medication was most likely initiated, and what is the required immediate intervention?