History |
- Onset of symptoms
- Similar symptoms in the past
- Location, radiation, severity of pain
- Trauma
- Nausea, vomiting, abdominal pain
- Fever, dysuria
- Penile discharge, STIs, sexual history
- Analgesia, last dose
- Last PO intake
|
Physical Exam |
- VS
- Abdominal, flank tenderness
- Tanner staging
- Erythema, swelling, induration of scrotum
- Testicle lie, size, consistency
- Location of pain (corpus, posterior, superior, other)
- Cremasteric reflex
- Inguinal canal mass, reducibility
- Urethral discharge
- Prehn's sign – decreased pain with elevation of testis
- Rash
- Other signs of infectious disease
- Other evidence of trauma
|