Epididymoorchitis physical examination

Epididymoorchitis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Epididymoorchitis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Epididymoorchitis physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Epididymoorchitis physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Epididymoorchitis physical examination
CDC on Epididymoorchitis physical examination
Epididymoorchitis physical examination in the news
Blogs on Epididymoorchitis physical examination
Directions to Hospitals Treating Uveitis
Risk calculators and risk factors for Epididymoorchitis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]

Overview

The main focus of physical examination in patients with epididymoorchitis is scrotal and testicular examination. Signs that may be present include testicular swelling, tenderness on palpation, as well as erythema. Other signs include relief of pain upon elevation of the testis. Unlike patients with testicular torsion, patients with epididymoorchitis have an intact cremasteric reflex.

Physical Examination

The following physical signs may be apparent upon examination of patient with epididymoorchitis:

• General appearance: Patients with epididymoorchitis usually look uncomfortable while seated
• Vital signs: fever and tachycardia may be present
• Scrotal and testicular examination: look for swelling or tenderness on palpation of the testicle or palpation of a tender spermatic cord, which is suggestive of epididymitis. There may also be an area of induration. In the later stages of epididymoorchitis, there may be scrotal wall erythema that mimics testicular torsion
• Cremasteric reflex: ipsilateral cremasteric reflex is usually intact in cases of epididymoorchitis
• Prehn's sign: Epididymoorchitis usually has a positive Prehn's sign, which is the relief of pain with elevation of the testicle
• Inguinal area examination: inguinal area is examined to look for hernias or swollen/tender lymph nodes
• Costovertebral angle tenderness or tenderness on palpation of the suprapubic region may reveal concomitant pyelonephritis and cystitis, respectively