Epididymitis
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Epididymitis
Pathology
Disorders of puberty, sex chromosomes, and sex hormones
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Reproductive system and breast pathology review
Benign breast conditions: Pathology review
Breast cancer: Pathology review
Amenorrhea: Pathology review
Cervical cancer: Pathology review
Ovarian cysts and tumors: Pathology review
Sexually transmitted infections: Vaginitis and cervicitis: Pathology review
Uterine disorders: Pathology review
Vaginal and vulvar disorders: Pathology review
Disorders of sex chromosomes: Pathology review
Disorders of sexual development and sex hormones: Pathology review
Sexually transmitted infections: Warts and ulcers: Pathology review
Penile conditions: Pathology review
Prostate disorders and cancer: Pathology review
Testicular and scrotal conditions: Pathology review
Testicular tumors: Pathology review
Complications during pregnancy: Pathology review
Congenital TORCH infections: Pathology review
Assessments
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High Yield Notes
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Flashcards
Epididymitis
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Questions
USMLE® Step 1 style questions USMLE
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A 26-year-old man comes to the emergency department for evaluation of acute testicular pain. The pain has been progressively worsening over the past five days. He has no pain with urination, but there is significant tenderness with manipulation of the scrotum. He is sexually active with two partners and does not use barrier protection. Temperature is 37.0°C (98.6°F), pulse is 94/min, and blood pressure is 125/80 mmHg. Physical examination reveals pain with palpation of the right testis posteriorly. Stroking of the right inner thigh results in elevation of the right testis. Which of the following additional clinical findings will most likely be observed in this patient?
Summary
Epididymitis is a condition that results when the epididymis, a curved structure that lies behind the testicles, becomes inflamed. The epididymis normally collects and stores sperm made in the testicles. Epididymitis can be caused by a number of things, including sexually transmitted infections (such as chlamydia and gonorrhea), bacteria that can enter the urinary tract, and blockages of the urinary tract. It can also be caused by problems with the immune system or by injuries to the testicles or epididymis. Symptoms of epididymitis include pain and swelling in the scrotum, fever, nausea, and vomiting.