Epididymoorchitis physical examination: Difference between revisions
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*General appearance: Patients with epididymoorchitis usually look uncomfortable while seated | *General appearance: Patients with epididymoorchitis usually look uncomfortable while seated | ||
*Vital signs: [[fever]] and [[tachycardia]] may be present | *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]] | *[[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 | *[[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]] | *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]] | *[[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 | *[[Costovertebral]] angle [[tenderness]] or [[tenderness]] on [[palpation]] of the suprapubic region may reveal concomitant [[pyelonephritis]] and [[cystitis]], respectively | ||
==References== | ==References== | ||
Revision as of 20:38, 23 December 2016
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Epididymoorchitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Epididymoorchitis physical examination On the Web |
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American Roentgen Ray Society Images of Epididymoorchitis physical examination |
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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
Physical Examination
The following physical signs may be apparent upon examination of patient with epididymoorchitis:[1][2]
- 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 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