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| {{Infobox_Disease
| | #REDIRECT[[Epididymoorchitis]] |
| | Name = {{PAGENAME}}
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| | Image =
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| | Caption =
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| | DiseasesDB = 4342
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| | ICD10 = {{ICD10|N|45||n|40}}
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| | ICD9 = {{ICD9|604}}
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| | ICDO =
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| | OMIM =
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| | MedlinePlus = 001280
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| | eMedicineSubj = emerg
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| | eMedicineTopic = 344
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| | MeshID = D009920
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| }}
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| {{Search infobox}}
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| {{SCC}}
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| {{Editor Join}}
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| ==Overview==
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| '''Orchitis''' is an often very painful condition of the [[testicles]] involving inflammation, swelling and frequently infection.
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| ==Symptoms==
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| [[Symptom]]s of orchitis are similar to those of [[testicular torsion]]. These can include:
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| * [[ejaculation]] of [[blood]]
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| * [[hematuria]] (blood in the [[urine]])
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| * [[Pain and nociception|pain]]
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| * visible [[swelling]] of a testicle or testicles and often the inguinal lymph nodes on the affected side.
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| This condition must be [[Diagnosis|diagnosed]] by a [[physician]].
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| ==Causes==
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| Orchitis can be related to [[epididymitis]] infection that has spread to the [[testicles]]. Orchitis is a not as common as [[epididymitis]], but should not be taken lightly as loss of function ([[hypogonadism]]) can occur in the testicles.
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| A common cause for childhood orchitis is [[mumps]].
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| [[Ischemic]] orchitis may result from damage to the blood vessels of the [[spermatic cord]] during [[Herniorrhaphy|inguinal herniorrhaphy]], and may in the worst event lead to [[testicular atrophy]].
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| ==Differential Diagnosis of Orchitis==
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| {|style="width:90%; height:100px" border="1"
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| |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
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| |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Chemical / poisoning'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Dermatologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Drug Side Effect'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Ear Nose Throat'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Endocrine'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Environmental'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Gastroenterologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Genetic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Hematologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Iatrogenic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Infectious Disease'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Musculoskeletal / Ortho'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Neurologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Nutritional / Metabolic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Oncologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Opthalmologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Overdose / Toxicity'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Psychiatric'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Pulmonary'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Renal / Electrolyte'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Rheum / Immune / Allergy'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Trauma'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Miscellaneous'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |}
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| ==Treatment==
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| In most cases where orchitis is caused by epididymitis, treatment is an oral antibiotic such as [[cefalexin]] or [[ciprofloxacin]] until infection clears up.
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| For viral infections, antibiotics are not recommended.
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| In both causes [[non-steroidal anti-inflammatory drugs]] such as [[naproxen]] or [[ibuprofen]] are recommended to relieve pain. Sometimes stronger pain medications in the [[opiate]] category, particularly [[hydrocodone]], are called for and are frequently prescribed by experienced emergency room physicians.
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| ==External links==
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| * [http://www.mayoclinic.com/health/orchitis/DS00602 Overview] at [[Mayo Clinic]]
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| {{Diseases of the pelvis, genitals and breasts}}
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| [[Category:Inflammations]]
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| [[Category:Urology]]
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| {{med-stub}}
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| [[de:Orchitis]]
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| [[it:Orchite]]
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| [[pt:Orquite]]
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| [[ru:Орхит]]
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| [[fi:Kivestulehdus]]
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| {{WikiDoc Sources}}
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