Scrotal Pain
Age: years old
Gender: male
HISTORY:
Presents with a - history of testicular pain
Onset was , started
Location is on testicle
Radiation to
Rated at / 10
Described as
Pattern
Episodes last for , recur times per
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
, up to °, over
, , ,
, episodes , ,
Contributing factors:
no history of: , , , , , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Abdomen: , , , , bowel sounds , ,
Genital: penis , testes and epididymis ,
ASSESSMENT:
DDx: epididymitis, orchitis, testicular torsion, inguinal hernia, testicular trauma, hydrocele, varicocele, testicular cancer, renal colic, kidney stones, herniated lumbar disc with referred pain, mumps orchitis, idiopathic scrotal pain, spermatocele, epididymal cyst, Fournier's gangrene, prostatitis, sexually transmitted infections
PLAN:
Investigations:
- Urinalysis
- Urine culture
- STI testing for chlamydia and gonorrhea
- Blood work: , ,
- Scrotal ultrasound
- Testicular doppler if torsion suspected
Treatments:
-
-
- Ice packs
Further care:
- Referral to urologist
- Follow-up in
- Return if pain worsens, if new symptoms develop such as fever or swelling, or if symptoms do not improve with treatment
- Referral to ER if severe pain or sudden onset of symptoms occurs
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: