Epididymoorchitis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The main symptoms of epididymoorchitis are [[scrotum|scrotal]] [[pain]] and [[swelling]]. Other symptoms such as [[fever]], [[nausea]], [[vomiting]] and [[UTI|lower UTI]] symptoms may be present.<ref name="pmid19378875">{{cite journal |vauthors=Trojian TH, Lishnak TS, Heiman D |title=Epididymitis and orchitis: an overview |journal=Am Fam Physician |volume=79 |issue=7 |pages=583–7 |year=2009 |pmid=19378875 |doi= |url=}}</ref><ref name="pmid21490048">{{cite journal |vauthors=Stewart A, Ubee SS, Davies H |title=Epididymo-orchitis |journal=BMJ |volume=342 |issue= |pages=d1543 |year=2011 |pmid=21490048 |doi= |url=}}</ref><ref name="pmid9651416">{{cite journal |vauthors=Kadish HA, Bolte RG |title=A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages |journal=Pediatrics |volume=102 |issue=1 Pt 1 |pages=73–6 |year=1998 |pmid=9651416 |doi= |url=}}</ref><ref name="pmid11350430">{{cite journal |vauthors=Luzzi GA, O'Brien TS |title=Acute epididymitis |journal=BJU Int. |volume=87 |issue=8 |pages=747–55 |year=2001 |pmid=11350430 |doi= |url=}}</ref> | |||
==History and Symptoms== | ==History and Symptoms== | ||
The main symptoms of epididymoorchitis include:<ref name="pmid19378875">{{cite journal |vauthors=Trojian TH, Lishnak TS, Heiman D |title=Epididymitis and orchitis: an overview |journal=Am Fam Physician |volume=79 |issue=7 |pages=583–7 |year=2009 |pmid=19378875 |doi= |url=}}</ref><ref name="pmid21490048">{{cite journal |vauthors=Stewart A, Ubee SS, Davies H |title=Epididymo-orchitis |journal=BMJ |volume=342 |issue= |pages=d1543 |year=2011 |pmid=21490048 |doi= |url=}}</ref> | The main symptoms of epididymoorchitis include:<ref name="pmid19378875">{{cite journal |vauthors=Trojian TH, Lishnak TS, Heiman D |title=Epididymitis and orchitis: an overview |journal=Am Fam Physician |volume=79 |issue=7 |pages=583–7 |year=2009 |pmid=19378875 |doi= |url=}}</ref><ref name="pmid21490048">{{cite journal |vauthors=Stewart A, Ubee SS, Davies H |title=Epididymo-orchitis |journal=BMJ |volume=342 |issue= |pages=d1543 |year=2011 |pmid=21490048 |doi= |url=}}</ref><ref name="pmid9651416">{{cite journal |vauthors=Kadish HA, Bolte RG |title=A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages |journal=Pediatrics |volume=102 |issue=1 Pt 1 |pages=73–6 |year=1998 |pmid=9651416 |doi= |url=}}</ref><ref name="pmid11350430">{{cite journal |vauthors=Luzzi GA, O'Brien TS |title=Acute epididymitis |journal=BJU Int. |volume=87 |issue=8 |pages=747–55 |year=2001 |pmid=11350430 |doi= |url=}}</ref> | ||
*[[scrotum|Scrotal]] pain: [[scrotum|scrotal]] pain in epididymoorchitis starts gradually, is usually unilateral and localized posterior to the [[testis]]. Pain my spread to the adjacent [[testis]] or radiate to the lower [[abdomen]] | *[[scrotum|Scrotal]] [[pain]]: [[scrotum|scrotal]] pain in epididymoorchitis starts gradually, is usually unilateral and localized posterior to the [[testis]]. Pain my spread to the adjacent [[testis]] or radiate to the lower [[abdomen]] | ||
*[[scrotum|Scrotal]] swelling | *[[scrotum|Scrotal]] swelling | ||
*Lower [[urinary tract infection]] ([[UTI]]) symptoms: these include [[urgency]], [[frequency]], burning on urination ( | *Lower [[urinary tract infection]] ([[UTI]]) symptoms: these include [[urgency]], [[frequency]], [[dysuria|burning on urination (dysuria)]] or the presence [[Hematuria|blood in urine (hematuria)]] | ||
*Constitutional symptoms: these include subjective or documented feeling of hotness, [[chills]], [[nausea]] and [[vomiting]] | *Constitutional symptoms: these include subjective or documented feeling of hotness, [[chills]], [[nausea]] and [[vomiting]] | ||
In the history, ask about certain precipitating factors to epididymoorchitis. These include:<ref name="pmid21490048">{{cite journal |vauthors=Stewart A, Ubee SS, Davies H |title=Epididymo-orchitis |journal=BMJ |volume=342 |issue= |pages=d1543 |year=2011 |pmid=21490048 |doi= |url=}}</ref> | In the history, ask about certain precipitating factors to epididymoorchitis. These include:<ref name="pmid21490048">{{cite journal |vauthors=Stewart A, Ubee SS, Davies H |title=Epididymo-orchitis |journal=BMJ |volume=342 |issue= |pages=d1543 |year=2011 |pmid=21490048 |doi= |url=}}</ref> | ||
*Sexual history, number of partners and recent changes in partners. Make sure to ask about [[urethral]] | *Sexual history, number of partners and recent changes in partners. Make sure to ask about [[urethral discharge]]. | ||
*Recent [[viral]] illness: Isolated orchitis is a common complication of [[mumps]] [[viral infection]] and it usually manifests 7-10 days following the onset of [[fever]] and [[parotitis]]. | *Recent [[viral]] illness: Isolated orchitis is a common complication of [[mumps]] [[viral infection]] and it usually manifests 7-10 days following the onset of [[fever]] and [[parotitis]]. | ||
*[[Trauma]] to the genitalia. | *[[Trauma]] to the genitalia. | ||
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{{WH}}{{WS}} | {{WH}}{{WS}} | ||
[[Category:Emergency medicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Urology]] | |||
Latest revision as of 21:35, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
The main symptoms of epididymoorchitis are scrotal pain and swelling. Other symptoms such as fever, nausea, vomiting and lower UTI symptoms may be present.[1][2][3][4]
History and Symptoms
The main symptoms of epididymoorchitis include:[1][2][3][4]
- Scrotal pain: scrotal pain in epididymoorchitis starts gradually, is usually unilateral and localized posterior to the testis. Pain my spread to the adjacent testis or radiate to the lower abdomen
- Scrotal swelling
- Lower urinary tract infection (UTI) symptoms: these include urgency, frequency, burning on urination (dysuria) or the presence blood in urine (hematuria)
- Constitutional symptoms: these include subjective or documented feeling of hotness, chills, nausea and vomiting
In the history, ask about certain precipitating factors to epididymoorchitis. These include:[2]
- Sexual history, number of partners and recent changes in partners. Make sure to ask about urethral discharge.
- Recent viral illness: Isolated orchitis is a common complication of mumps viral infection and it usually manifests 7-10 days following the onset of fever and parotitis.
- Trauma to the genitalia.
References
- ↑ 1.0 1.1 Trojian TH, Lishnak TS, Heiman D (2009). "Epididymitis and orchitis: an overview". Am Fam Physician. 79 (7): 583–7. PMID 19378875.
- ↑ 2.0 2.1 2.2 Stewart A, Ubee SS, Davies H (2011). "Epididymo-orchitis". BMJ. 342: d1543. PMID 21490048.
- ↑ 3.0 3.1 Kadish HA, Bolte RG (1998). "A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages". Pediatrics. 102 (1 Pt 1): 73–6. PMID 9651416.
- ↑ 4.0 4.1 Luzzi GA, O'Brien TS (2001). "Acute epididymitis". BJU Int. 87 (8): 747–55. PMID 11350430.