A 28 yo male presents for evaluation of severe left testicul…

A 28 yo male presents for evaluation of severe left testicular pain and swelling that developed over the past two days.  Vital signs are unremarkable.  On exam, his left testicle is tender with normal lie.  His right testicle is unremarkable.  The scrotum is painful, edematous. Urinalysis shows 57 WBC/hpf and 14 RBC/hpf.  Which of the following is the most likely diagnosis?

A 34 year-old male patient presents to the primary care clin…

A 34 year-old male patient presents to the primary care clinic with a 3-month history of intermittent upper abdominal pain described as epigastric burning and gnawing pain about 2-3 hours after eating. His discomfort is waking him up in the early morning hours and interfering with sleep. He feels relief with foods and taking antacids.  He denies radiating pain, nausea, vomiting. Upon physical exam, you note tenderness to epigastrium and the LUQ. Bowel sounds are slightly hyperactive. Vital signs are stable and all other findings are benign. What is the most likely diagnosis for this patient?