Don’t mind the image choice here 😁. Today we are going to talk briefly about scrotal / testicular pain causes- coz’ every now and then a male patient will report this issue to you. Before you reflexly order an Ultrasound, give the differentials for driving history and groin exam a thought, since it may not even be a primary scrotal / testicular issue.
Recall the various causes using word “TESTIS” as a mnemonic:
T – Torsion (always rule this emergency out)
E – Epididymitis
S – Stones (Kidney stone pain can radiate to groin)
T – Tumor, Trauma
I – Inguinal Hernia , Infection (Viral/bacterial Orchitis, STDs, UTIs, Prostatitis)
S – Spermatocele-Hydrocele-Varicocele
P.S: Did you know the word testis is thought to be derived from the roots of testament , since it bears witness to male virility ?
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