Differential Diagnosis

Differential diagnoses include testicular trauma, tumor, polyorchidism, idiopathic scrotal edema, orchitis, epididymitis, inguinal hernias, haematocele, adrenal hemorrhages, meconium peritonitis, scrotal-periscrotal abscess, hydrocele, varico-cele, appendicitis, acute hydronephrosis, funiculitis, fat necrosis, Henoch-Schonlein purpura, polyarteritis nodosa, and torsion of the testicular appendages [1,31,89, 90],

Patients usually present with hemiscrotal pain which is acute and severe. The differential diagnosis of scrotal pain includes torsion of appendix testis, epididymi-tis, and epididymoorchitis. Torsion of the appendix may present with a tender nodule and a bluish black spot (blue dot) on the upper pole of the testicle, epididymitis with localized tenderness of the epididymis, and edematous scrotal skin like orange peel and a normal testicle. Epididymoorchitis is characterized by scrotal and testicular pain, tenderness, edema, and erythema [50, 64].

Radiologic studies may differentiate torsion from other acute scrotum conditions. Scintigraphy also evaluate perfusion and anatomy. Typically, normal flow is present with torsion of appendices, normal or increased flow in epididymitis. Increased radiotracer is seen in inflamed testicle, whereas decreased perfusion is found in ischemic testes [64] .

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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