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1,081 Possible Causes for Epididymal Tenderness, Patient Appears Acutely Ill, Spermatic Cord Tenderness

  • Testicular Torsion

    Adult Epididymis, onset over days Fever, dysuria Cremasteric reflex present Epididymal tenderness with or without testicular tenderness WBC, LE, nitrites Body of testis similar[cdemcurriculum.com] There was slightly thickened and tender left spermatic cord. Hematological investigations were normal except for mild leukocytosis. Urine examination was normal.[saudijhealthsci.org] The prenatal diagnosis of spermatic cord torsion is often really difficult and the diagnosis is usually retrospective.[ncbi.nlm.nih.gov]

  • Orchitis and Epididymitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] The spermatic cord is usually tender and swollen.[cdc.gov] […] of the epididymis Tender and swollen spermatic cord Swollen Scrotum, reddening and fever in case of advanced inflammation Intact cremasteric reflex, Prehn's sign is not reliable[urology-textbook.com]

    Missing: Patient Appears Acutely Ill
  • Acute Epididymitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] Signs There may be tenderness over the groin (spermatic cord), the scrotum is usually enlarged, and the overlying skin may be red.[doctortipster.com] […] of the epididymis Tender and swollen spermatic cord Swollen Scrotum, reddening and fever in case of advanced inflammation Intact cremasteric reflex, Prehn's sign is not reliable[urology-textbook.com]

    Missing: Patient Appears Acutely Ill
  • Testicular Abscess

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] The spermatic cord is usually tender and swollen.[cdc.gov] Differential considerations for inguinal tenderness include spermatic cord hematoma, hernia, and rarely neoplasms.[criticalultrasoundjournal.springeropen.com]

  • Scrotal Abscess

    A thickened, tender spermatic cord suggests a testicular torsion (spermatic cord torsion) while tenderness alone may indicate epididymitis.[urologyweb.com] The testes, epididymides, and spermatic cords should be palpated for swelling, masses, and tenderness.[merckmanuals.com] When epididymitis extends into the testis and causes testicular tenderness and enlargement, it is termed epididymoorchitis.[auanet.org]

  • Mumps Orchitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] Do not delay medical care as other emergency conditions, such as testicular torsion (twisting of the spermatic cord), are also characterized by testicular pain and tenderness[emedicinehealth.com] Swelling, tenderness, redness and warmth of the skin do not occur. Additional tests may be used as for acute epididymitis, but are less frequently required.[brandywineuc.com]

  • Gonorrhea

    Signs Men Mucopurulent or purulent urethral discharge. [ 10 ] Epididymal tenderness/swelling or balanitis (rare). [ 2, 11 ] Women [ 2, 12 ] Mucopurulent endocervical discharge[patient.info] : Unilateral epididymal tenderness and edema, with or without penile discharge or dysuria Penile edema without other overt inflammatory signs Urethral stricture: Uncommon;[emedicine.medscape.com] […] ovaries, fallopian tubes) Lower abdominal pain/tenderness, with or without rebound tenderness Possible low back pain - More common in progression to PID Upper right abdominal tenderness[emedicine.medscape.com]

    Missing: Spermatic Cord Tenderness
  • Indirect Inguinal Hernia

    Differential Diagnosis of Groin and Scrotal Masses Diagnosis Clinical presentation Ectopic testis Absence of a testis in the scrotum Epididymitis Severe pain surrounding the[aafp.org] The examination of the right testes, epididymis, spermatic cord and contralateral inguino-scrotal region was within normal limits.[ijcasereportsandimages.com] Testicular pain Discharge Painful urination Fever, chills Hydrocele Non-tender swollen testicle May be seen in addition to an inguinal hernia Femoral hernia Contents through[physio-pedia.com]

    Missing: Patient Appears Acutely Ill
  • Torsion of the Appendices and Epididymis

    Adult Epididymis, onset over days Fever, dysuria Cremasteric reflex present Epididymal tenderness with or without testicular tenderness WBC, LE, nitrites Body of testis similar[cdemcurriculum.com] At operation, we found his left spermatic cord to be twisted 90 degrees counterclockwise and appendix epididymis 180 degrees counterclockwise.[ncbi.nlm.nih.gov] There is also noted diffusely tender swollen testes or epididymal tenderness.[clinicaladvisor.com]

    Missing: Patient Appears Acutely Ill
  • Epididymitis

    Patient usually presents with epididymal tenderness and swelling, scrotal swelling and redness, fever and possibly urethral discharge.[rxmed.com] The spermatic cord is usually tender and swollen.[cdc.gov] The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org]

    Missing: Patient Appears Acutely Ill