40 year old men is suffering from fever & pain in scrotum which is not relieved by elevation of testis. 3 days before had sexual contact with a young female ?
Ans is 'c' ie Torsion of testis Torsion of testis can be differentiated from acute epididymitis by Prehn's sign. ie. On elevation of testis the pain increases in --> Torsion On elevation of testis the pain decreases in epididymoorchitis. Dont be confused with fever, it can also occur in torsion, especially in older patients.
Testicular tumour
Acute epididymitis
Torsion of testis
Acute orchitis