Epididymoorchitis differential diagnosis: Difference between revisions
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!Epididymoorchitis | !Epididymoorchitis | ||
!Testicular Torsion | ![[Testicular torsion|Testicular Torsion]] | ||
!Torsion of the Testicular Appendage | ![[Torsion]] of the [[Testicular]] [[Appendage]] | ||
|- | |- | ||
|Swelling and redness of the scrotum | |[[Swelling]] and [[redness]] of the [[scrotum]] | ||
|can be present | |can be present | ||
|can be present | |can be present | ||
|can be present | |can be present | ||
|- | |- | ||
|Location of pain/tenderness | |Location of [[pain]]/[[tenderness]] | ||
|Testicles and/or epididymis | |[[Testicles]] and/or [[epididymis]] | ||
|Testicles | |[[Testicles]] | ||
|Superior pole of the testis | |Superior pole of the [[testis]] | ||
|- | |- | ||
|Onset of pain | |Onset of [[pain]] | ||
|Gradual | |Gradual | ||
|Sudden | |Sudden | ||
|N/A | |N/A | ||
|- | |- | ||
|Urinary symptoms | |[[Urinary symptoms]] | ||
|Can be present | |Can be present | ||
|Usually absent | |Usually absent | ||
|Usually absent | |Usually absent | ||
|- | |- | ||
|Pain with elevation of the testis | |[[Pain]] with [[elevation]] of the [[testis]] | ||
|Usually relieved | |Usually relieved | ||
|Usually exacerbated | |Usually exacerbated | ||
|N/A | |N/A | ||
|- | |- | ||
|Cremasteric Reflex | |[[Cremasteric reflex|Cremasteric Reflex]] | ||
|Usually present | |Usually present | ||
|Usually absent | |Usually absent | ||
| Line 46: | Line 46: | ||
|Absent | |Absent | ||
|Absent | |Absent | ||
|Can be present and indicates infarction of the testicular appendage | |Can be present and indicates [[infarction]] of the [[testicular]] [[appendage]] | ||
|- | |- | ||
|Testicular lie | |[[Testicular]] lie | ||
|Normal | |Normal | ||
|can be high and transverse | |can be high and [[transverse]] | ||
|Normal | |Normal | ||
|- | |- | ||
|Doppler ultrasound findings | |[[Doppler ultrasound]] findings | ||
|Normal or increased flow | |Normal or increased flow | ||
|Decreased or absent flow | |Decreased or absent flow | ||
Revision as of 20:20, 27 December 2016
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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
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.