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21 year old male
Testicular Pain, “R/O Torsion”
Findings and Dx?
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Answers
Epididymitis

  • Gray-scale image (left) showed an enlarged, hypoechoic epididymitis; power Doppler (right) showed marked hyperemia in the same area; consistent with epididymitis
  • Flow is also noted within testicle, which allows you to “R/O” torsion
  • Age typically 20-30 year old (72%). Chlamydia and Gonorrheae more common < 35 year old
  • Rx: Ceftriaxone + Doxycycline or Azithromycin; alternative Bactrim
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