Epididymitis

• Facts:
  Infection / inflammation of the epididymis
• History / PE:
  Fever, eythema
  Scrotal swelling
  Tender/enlarged testicles
• Diagnosis:
  Decreased pain with scrotal elevation (+ Prehn's sign)
  UA, culture (pyuria)
  Normal to increased blood flow to testes (doppler U/S)
• Treatment:
  ABX
  NSAIDs
• Associated With:
  STIs (in younger patients)
  UTI from E.coli / gram - rod (older patients)
• Differential Diagnosis:
  Testicular torsion (decreased blood flow to testes)