Epididymitis and Orchitis Flashcards

1
Q

ESSENCE

A

Epididymitis = inflammation of epididymis

Orchitis = inflammation of testicle

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2
Q

AETIOLOGY

Causative organisms

A
  • E-coli
  • Chlamydia trachomatis
  • Neisseria gonorrhoea
  • Mumps
    • Think of this in patients with parotid gland swelling
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3
Q

CLINICAL FEATURES

Presentation

A
  • Gradual onset over minutes to hours, unilateral
    • Testicular pain
    • Dragging or heavy sensation
    • Swelling of testicle or epididymis
    • Tenderness on palpation
    • Urethral discharge (chlamydia or gonorrhoea)
    • Systemic symptoms such as fever
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4
Q

Key differential

A

Testicular torsion

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