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30 Possible Causes for Epididymal Tenderness, Spermatic Cord Tenderness

  • Acute Epididymitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] Ipsilateral spermatic cord thickening and tenderness heavier.[healthfrom.com] Early in the course of acute epididymitis, the enlarged, indurated, tender epididymis may be distinguished from the testis, but after a few hours, the testis and epididymis[doctortipster.com]

  • 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]

  • 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] The prenatal diagnosis of spermatic cord torsion is often really difficult and the diagnosis is usually retrospective.[ncbi.nlm.nih.gov] There is also noted diffusely tender swollen testes or epididymal tenderness.[clinicaladvisor.com]

  • Funiculitis

    Doctors Conclusions: 1.Acute Epididymitis 2.Tenderness 3.Swellen And started Following treatment before test result comes. 1.Clavam 625 ---2 times X 5 Days 2.Hetrazan 100[medhelp.org] Spermatic Cord Mass. Swelling of scrotum. Swelling/epididymis. Tender spermatic cord/vas. Thickened/doughy texture spermatic cord. Pain/abdomen inguinal radiation.[medigoo.com] Diagnosis Clinical evaluation Sometimes urethral swab and urine culture Diagnosis of epididymitis is confirmed by finding swelling and tenderness of the epididymis.[msdmanuals.com]

  • Spermatocele

    It should be remembered that the chronic inflammation of tuberculosis also may produce a tender enlargement of the epididymis ( Figure 2 ) . FIGURE 2. Epididymitis.[aafp.org] These diagnoses include inguinal hernia, inflamed inguinal lymph node, rectus sheath hematoma, cryptorchidism, mass derived from the spermatic cord, and polyorchidism.[ncbi.nlm.nih.gov] Physical examination reveals a tender, firm affected testis that may appear retracted upward as a result of twisting of the spermatic cord.[aafp.org]

  • Spermatic Cord Injury

    There is a swollen, tender testis retracted upwards. Lifting the testis up over the symphysis increases pain, whereas in epididymitis this usually relieves pain.[patient.info] Woodworth, who stated that appellant apparently suffered trauma to the spermatic cord structure, that he definitely had local pain and tenderness in the left epididymis at[dol.gov] Anatomy of the normal (right) testis and spermatic cord.[aafp.org]

  • 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]

  • Testicular Injury

    In early epididymitis, the epididymis exhibits tenderness and induration, but the testis itself is not tender.[aafp.org] Testicular torsion Within the scrotum, the testicles are secured at one end by a structure called the spermatic cord.[my.clevelandclinic.org] When epididymitis extends into the testis and causes testicular tenderness and enlargement, it is termed epididymoorchitis.[auanet.org]

  • Direct 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]

  • 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]

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