RT Book, Section
A1 Moore, Sarah
A1 Pedigo, Ryan
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041176
T1 Acute Epididymitis
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041176
RD 2024/04/18
AB The  onset  of  scrotal  pain  typically  occurs  over  hours  and  is  often  referred  to  the  ipsilateral  inguinal  canal  or  lower  abdominal  quadrant.  Recent  urinary  tract  instrumentation  or  urinary  tract  infection  is  a  risk  factor.  Early  in  the  course,  a  tender,  indurated,  edematous  epididymis  is  palpated  separately  from  the  nontender  testicle.  Late  presentations  will  have  generalized  scrotal  swelling  and  tenderness,  making  examination  and  differentiation  more  difficult.  The  urinalysis  reveals  pyuria  or  bacteriuria  half  of  the  time,  and  the  peripheral  white  blood  cell  count  is  frequently  elevated.  Patients  can  present  with  fever  and  signs  of  sepsis.  Approximately  half  the  time,  the  epididymis  and  adjacent  testicle  will  be  inflamed,  which  is  termed  epididymo-orchitis.