Browse categories and answer follow-up questions to refine your symptom profile.
Time-critical threats
Time-critical threats
Testicular torsion until excluded
Pain onset sudden
Symptom duration <6 hours
High-riding testis
Horizontal lie
Absent cremasteric reflex
Nausea or vomiting
If high suspicion, immediate urology consult without delay for imaging
Necrotizing soft tissue infection of perineum
Perineal or scrotal skin necrosis
Crepitus
Severe pain out of proportion
Systemic toxicity
If concern, escalate to resuscitation bay and emergent surgery consult
Sepsis from genitourinary source
Hypotension
Fever with rigors
Altered mental status
Lactate elevation
If shock, initiate sepsis bundle and broad-spectrum antibiotics
Immediate stabilization
Stabilization priorities
Airway and breathing threats
If depressed consciousness, airway positioning and escalation per local protocol
If hypoxemia, oxygen to target SpO2 per local protocol
Circulation threats
If hypotension, IV access and isotonic crystalloid bolus
If persistent hypotension, vasopressor per sepsis protocol
Analgesia early
NSAID unless contraindicated
Opioid for uncontrolled pain
Isolation considerations
If parotitis with suspected mumps, droplet precautions per local policy
Key decision points
Key decisions
Orchitis versus epididymo-orchitis
Epididymal tenderness often present in bacterial etiologies
Isolated orchitis more consistent with viral cause including mumps
STI-associated versus enteric-associated bacterial infection
Age <35 or STI risk
Insertive anal sex risk for enteric pathogens
Recent urinary instrumentation
Known urinary tract obstruction
Complicated infection
Abscess concern
Testicular infarction concern
Immunocompromised host
Inability to tolerate oral therapy
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.