Epididymoorchitis physical examination: Difference between revisions

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Revision as of 21:13, 22 December 2016

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

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 [[scrotum}scrotal]] wall erythema that mimics testicular torsion
Cremasteric reflex: ipsilateral cremasteric reflex is usually intact in cases of epididymoorchitis
Prehn sign: Epididymoorchitis usually has a positive Prehn 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

@@ Line 6: / Line 6: @@
 ==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
+*[[Scrotum|Scrotal]] and [[testicle|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 [[scrotum}scrotal]] wall [[erythema]] that mimics [[testicular torsion]]
+*[[Cremasteric reflex]]: [[ipsilateral]] [[cremasteric reflex]] is usually intact in cases of epididymoorchitis
+*Prehn sign: Epididymoorchitis usually has a positive Prehn 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
 ==References==