Epididymoorchitis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
The following physical signs may be apparent upon examination of patient with epididymoorchitis: | The following physical signs may be apparent upon examination of patient with epididymoorchitis:<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> | ||
*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 |
Revision as of 19:18, 23 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
Physical Examination
The following physical signs may be apparent upon examination of patient with epididymoorchitis:[1]
- 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