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Torsion of Testicular Appendage

Differential Diagnosis
1. Testicluar torsion
2. Epididymitis
Signs
1. Tiny, tender, palpable mass at Testis upper pole
2. "Blue dot" sign on skin early in course
3. Testicular Inflammation and Hydrocele are late findings
Course
1. Typical: 14 days
Management
1. Scrotal support
2. NSAIDs
3. Urology referral indications
  1. Presentation too late to make accurate diagnosis

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.