mdwannabe
Forum Guru
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Epididimitis may have a discharge, UTI like picture, more common with fever.
Torsion comes with nausea, and more sudden pain.
The rest of symptoms look even more similar.
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| usmleasr
Forum Guru
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in epididymitis ..testis in normal position..(while in torsion it is elevated from its original position..)
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| mdwannabe
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right testicle is normaly lower than left, so the position of the torsed ball can not serve as the maker. I don't think one can definitely assess the position.
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"Life not lived for others, is not worth living" Uncle Einstein
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| usmleasr
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hi mdwannabe,
as kaplan says , life is different ...boards is different  ...u may be a surgeon and may say the practical difficulty...but theoretically elevation is a point for diagnosing torsion...(may reach even inguinal canal)..also age group <30 (mainly prepubertal) for torsion
>30 goes for epididymitis...
also clinically elevation of testes (further manually) increases pain of torsion..lessens in epididymitis... :idea:
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| merrk
Forum Elite
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what abt the cremasteric ref'lex? is it present in epididymitis and absent in torsion?
and that's Prehn's sign u mentioned usmleasr!
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| mocherla
Forum Newbie
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elevation of testes deacreases pain in epididymitis, and not in torsion of testes
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| lucky
Forum Guru
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in torsiion cord is not tender , in epid. it is tender
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