Medical history (history of illness) represents an important component in the diagnosis of testicular swelling. Family history What is the general health of your family members? Are there any diseases in your family that are common? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). How long has the swelling … Testicular Swelling: Medical History
2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein). Urine status (rapid test for: pH, leukocytes, nitrite, protein, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity … Testicular Swelling: Test and Diagnosis
Obligatory medical device diagnostics. Scrotal sonography (ultrasound examination of the scrotal organs/testis and epididymis and their vascular supply) using Doppler sonography (special ultrasound examination measuring the flow velocity of blood in the vessels (arteries and veins)) [if testicular torsion is suspected, see under medical device diagnostics/testicular torsion] Optional medical device diagnostics – depending on the … Testicular Swelling: Diagnostic Tests
The following symptoms and complaints may occur together with testicular swelling: Leading symptom Testicular swelling Associated symptoms Pressure sensitivity Pain Enlarged lymph nodes in the groin region Caveat (Attention)! If acute swelling of the testicles occurs with or without pain in the scrotum, often radiating to the groin, an immediate presentation to theUrologist is urgent! … Testicular Swelling: Symptoms, Complaints, Signs
Skin and subcutaneous (L00-L99). Epidermal cyst* (epidermal cyst) – bulging elastic skin nodule resulting from retention of horny and sebaceous masses, of various genesis (traumatic, inflammatory, naevoid). Cardiovascular system (I00-I99). Elephantiasis* – irreversible thickening/hardening of the skin with massive fluid retention. Congestive heart failure or decompensated heart failure* (heart failure). Thrombosis of the inferior vena … Testicular Swelling: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing): skin and mucous membranes. Inspection and palpation (palpation) of abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, guarding tension?, hernial orifices?, renal bearing knocking pain?) [abdominal mass?]; exclusion of supraclavicular … Testicular Swelling: Examination
