Scrotal pain in a 21 yo male

Physical Examination

  • General appearance: Appears nontoxic but seems uncomfortable on the examination table

  • Vital signs:
  • Temperature: 37° C
  • Pulse: 80 beats/min
  • Respirations: 16/min
  • BP: 110/55 mm Hg
  • Height: 6'0"
  • Weight: 180 lb
  • BMI: 24.4

  • Skin: Warm and dry to the touch.

  • HEENT: Oropharynx is normal without erythema or exudate.

  • Pulmonary: Breath sounds present and equal bilaterally. No stridor, rales, or wheezing.

  • Cardiovascular: Regular heart rate and rhythm without murmurs; radial pulses present and equal bilaterally.

  • Gastrointestinal: Abdomen overall is soft and nontender to light and deep palpation. Normal bowel sounds. No guarding, no ecchymosis.

  • Genitourinary: Circumcised phallus with visible swelling of the right hemiscrotum. Discomfort on palpation of the right testis and epididymis; left testis has normal texture and no pain on palpation. No tenderness or fullness over the inguinal canals. Cremasteric reflexes present bilaterally. No obvious urethral discharge.

  • Musculoskeletal: No costovertebral angle tenderness

  • Neurologic: Unremarkable

  • Mental status: Alert and oriented to person, place, time, and event.