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Testicular swelling

  • Common ddx

    • epididymitis, chlamydia, gonorrhea, testicular trauma, post-vasectomy, post hernia repair
  • Serious ddx

    • testicular torsion, inguinal hernia
  • Labs

    • light transillumination
    • CBC
    • UA, STD panel
    • ultrasound if suspect torsion
    • CT abdomen, pelvis to check for mets if malignancy
  • Other ddx

    • orchitis, reactive hydrocele, testicular cancer
  • HPI

    • onset
    • triggering event
    • quality, quantity
    • aggravates, alleviates
  • ROS

    • fever, trauma
    • chest pain, dyspnea
    • nausea, vomiting, diarrhea, abdominal pain
    • dysuria, hematuria, penile discharge
  • PMH

    • mumps
    • HIV
  • FH

  • SH

    • new partners
  • Meds

  • Allergies

  • Px

    • vitals
    • gen impression
    • ENT
    • cardio, pulm, GI
    • genital exam, prostate exam

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.