Epididymoorchitis differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Dima Nimri (talk | contribs) |
Dima Nimri (talk | contribs) |
||
| Line 6: | Line 6: | ||
==Differentiating Epididymoorchitis From Other Diseases== | ==Differentiating Epididymoorchitis From Other Diseases== | ||
Epididymoorchitis is a major cause of [[acute]] [[scrotum]]. Other causes of [[acute]] [[scrotum]] which must be differentiated from epididymoorchitis include [[testicular torsion]] and [[torsion]] of the [[testicular]] [[appendage]]: | Epididymoorchitis is a major cause of [[acute]] [[scrotum]]. Other causes of [[acute]] [[scrotum]] which must be differentiated from epididymoorchitis include [[testicular torsion]] and [[torsion]] of the [[testicular]] [[appendage]]:<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="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><ref name="pmid15543483">{{cite journal |vauthors=Ciftci AO, Senocak ME, Tanyel FC, Büyükpamukçu N |title=Clinical predictors for differential diagnosis of acute scrotum |journal=Eur J Pediatr Surg |volume=14 |issue=5 |pages=333–8 |year=2004 |pmid=15543483 |doi=10.1055/s-2004-821210 |url=}}</ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
! | ! | ||
Revision as of 20:15, 27 December 2016
|
Epididymoorchitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Epididymoorchitis differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Epididymoorchitis differential diagnosis |
|
Risk calculators and risk factors for Epididymoorchitis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
Differentiating Epididymoorchitis From Other Diseases
Epididymoorchitis is a major cause of acute scrotum. Other causes of acute scrotum which must be differentiated from epididymoorchitis include testicular torsion and torsion of the testicular appendage:[1][2][3][4]
| Epididymoorchitis | Testicular Torsion | Torsion of the Testicular Appendage | |
|---|---|---|---|
| Swelling and redness of the scrotum | can be present | can be present | can be present |
| Location of pain/tenderness | Testicles and/or epididymis | Testicles | Superior pole of the testis |
| Onset of pain | Gradual | Sudden | N/A |
| Urinary symptoms | Can be present | Usually absent | Usually absent |
| Pain with elevation of the testis | Usually relieved | Usually exacerbated | N/A |
| Cremasteric Reflex | Usually present | Usually absent | Usually present |
| "Blue dot" sign | Absent | Absent | Can be present and indicates infarction of the testicular appendage |
| Testicular lie | Normal | can be high and transverse | Normal |
| Doppler ultrasound findings | Normal or increased flow | Decreased or absent flow | Normal or increased flow |
References
- ↑ Trojian TH, Lishnak TS, Heiman D (2009). "Epididymitis and orchitis: an overview". Am Fam Physician. 79 (7): 583–7. PMID 19378875.
- ↑ 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.
- ↑ Luzzi GA, O'Brien TS (2001). "Acute epididymitis". BJU Int. 87 (8): 747–55. PMID 11350430.
- ↑ Ciftci AO, Senocak ME, Tanyel FC, Büyükpamukçu N (2004). "Clinical predictors for differential diagnosis of acute scrotum". Eur J Pediatr Surg. 14 (5): 333–8. doi:10.1055/s-2004-821210. PMID 15543483.