Testicular pain

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Testicular pain Classification and external resources

WikiDoc Resources for Testicular pain
Articles
Most recent articles on Testicular pain Most cited articles on Testicular pain Review articles on Testicular pain Articles on Testicular pain in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Testicular pain Images of Testicular pain Photos of Testicular pain Podcasts & MP3s on Testicular pain Videos on Testicular pain
Evidence Based Medicine
Cochrane Collaboration on Testicular pain Bandolier on Testicular pain TRIP on Testicular pain
Clinical Trials
Ongoing Trials on Testicular pain at Clinical Trials.gov Trial results on Testicular pain Clinical Trials on Testicular pain at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Testicular pain NICE Guidance on Testicular pain NHS PRODIGY Guidance FDA on Testicular pain CDC on Testicular pain
Books
Books on Testicular pain
News
Testicular pain in the news Be alerted to news on Testicular pain News trends on Testicular pain
Commentary
Blogs on Testicular pain
Definitions
Definitions of Testicular pain
Patient Resources / Community
Patient resources on Testicular pain Discussion groups on Testicular pain Patient Handouts on Testicular pain Directions to Hospitals Treating Testicular pain Risk calculators and risk factors for Testicular pain
Healthcare Provider Resources
Symptoms of Testicular pain Causes & Risk Factors for Testicular pain Diagnostic studies for Testicular pain Treatment of Testicular pain
Continuing Medical Education (CME)
CME Programs on Testicular pain
International
Testicular pain en Espanol Testicular pain en Francais
Businness
Testicular pain in the Marketplace Patents on Testicular pain
Experimental / Informatics
List of terms related to Testicular pain

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Testicular pain should always be considered urgent because of possible Fourniers Gangerene or testicular torsion. Cancer is a common fear in patients.

Diagnosis

History and Symptoms

• History and physical exam includes abdomen, back, genitalia and digital rectal exam
• Note:onset, duration, location, quality and any other instances of pain
• Tranilluminate for fluid
• "Blue dot sign"->Blue coloration along upper area seen in 20% of torsion of the testicular appendix and/or due to infarction or necrosis
• Palpate testicle and spermatic cord for:

• effusion
• tenderness
• subcutaneous emphysema
• size

Laboratory Findings

• Neisseria gonorrhoeae & Chlamydia trachomatis culture
• Urinalysis in all patients

Ultrasound

• Use doppler to check for masses

MRI and CT

• Recent studies support the use of MRI

Differential Diagnosis

In alphabetical order. ^{[1] [1]}

• Epididymal or testicular appendage torsion
• Epididymysis
• Fournier's Gangrene
• Henoch-Schönlein purpura
• Hydrocele
• Peritonitis
• Referred pain due to an incarcerated hernia, constipation or kidney stone
• Ruptured abdominal aneurysm
• Scrotal trauma
• Testicular torsion
• Tumor

Treatment

Acute Pharmacotherapies

• Epididymitis

• antibiotic therapy
• NSAIDs and scrotal elevation

• UTI

• antibiotic therapy

• Tumor

• Resection

Surgery and Device Based Therapy

• Testicular torsion is an emergency

• Necessary to salvage testicle
• If surgery is not available, perform manual detorsion

• Penetrate spermatic cord with 10-20mL of 1% lidocaine
• gently twist testes to the left and right
• Patient will feel immediate relief upon detorsion
• Refer to a to a urologist if unsuccessful

• Incarcerated inguinal hernias & testicular rupture involve surgery

References

v • d • e WikiDoc Research Resources for Testicular pain
Articles on Testicular pain	Most recent articles on Testicular pain • Most cited articles on Testicular pain • Review articles on Testicular pain • Articles on Testicular pain in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Testicular pain	Powerpoint slides on Testicular pain • Images of Testicular pain • Photos of Testicular pain • Podcasts & MP3s on Testicular pain • Videos on Testicular pain
Evidence Based Medicine Regarding Testicular pain	Cochrane Collaboration on Testicular pain • Bandolier on Testicular pain • TRIP on Testicular pain
Cost Effectiveness of Testicular pain	Cost Effectiveness of Testicular pain
Clinical Trials Involving Testicular pain	Ongoing Trials on Testicular pain at Clinical Trials.gov • Trial results on Testicular pain • Clinical Trials on Testicular pain at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Testicular pain	US National Guidelines Clearinghouse on Testicular pain • NICE Guidance on Testicular pain • NHS PRODIGY Guidance • FDA on Testicular pain • CDC on Testicular pain
Textbook Information on Testicular pain	Books and Textbook Information on Testicular pain
Pharmacology Resources on Testicular pain	Dosing of Testicular pain • Drug interactions with Testicular pain • Side effects of Testicular pain • Allergic reactions to Testicular pain • Overdose information on Testicular pain • Carcinogenicity information on Testicular pain • Testicular pain in pregnancy • Pharmacokinetics of Testicular pain •
Genetics, Pharmacogenomics, and Proteinomics of Testicular pain	Genetics of Testicular pain • Pharmacogenomics of Testicular pain • Proteomics of Testicular pain
Newstories on Testicular pain	Testicular pain in the news • Be alerted to news on Testicular pain • News trends on Testicular pain
Commentary on Testicular pain	Blogs on Testicular pain
Patient Resources on Testicular pain	Patient resources on Testicular pain • Discussion groups on Testicular pain • Patient Handouts on Testicular pain • Directions to Hospitals Treating Testicular pain • Risk calculators and risk factors for Testicular pain
Healthcare Provider Resources on Testicular pain	Symptoms of Testicular pain • Causes & Risk Factors for Testicular pain • Diagnostic studies for Testicular pain • Treatment of Testicular pain
Continuing Medical Education (CME) Programs on Testicular pain	CME Programs on Testicular pain
International Resources on Testicular pain	Testicular pain en Espanol • Testicular pain en Francais
Business Resources on Testicular pain	Testicular pain in the Marketplace • Patents on Testicular pain
Informatics Resources on Testicular pain	List of terms related to Testicular pain

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .