Scrotal pain

Template

Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.

Try a Repertoire Line

Practice wording only: leave out patient details. Nothing typed here is saved or sent.

DiagnosisChoose oneTitle

LateralityChoose oneFirst line

ReviewedChoose any

AssessmentChoose one

ImagingChoose one

UrinalysisChoose one

STI testingChoose any

TreatmentChoose one

Additional planChoose any

ReferralChoose one

DispositionChoose one

Follow-upChoose one

Counseling

Pain from an inflamed epididymis or a twisted appendix testis usually improves over about a week with rest and pain medicine. Recommended supportive care with OTC medications as needed with an emphasis on rest, snug underwear for support, and cool packs. Discussed going straight to the emergency department for sudden severe testicle pain, since a twisted testicle must be treated within hours. Return precautions given including sudden or severe testicle pain, increasing swelling, vomiting, fever, a testicle that sits higher than the other, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Scrotal pain
• Onset, severity, urinary symptoms, trauma, voiding and bowel habits, and scrotal exam reviewed
• Gradual onset with a normal testicular lie and an intact cremasteric reflex, so testicular torsion is unlikely
• Recommended rest, scrotal support, and tylenol or motrin
• Follow up if not improving

Pain from an inflamed epididymis or a twisted appendix testis usually improves over about a week with rest and pain medicine. Recommended supportive care with OTC medications as needed with an emphasis on rest, snug underwear for support, and cool packs. Discussed going straight to the emergency department for sudden severe testicle pain, since a twisted testicle must be treated within hours. Return precautions given including sudden or severe testicle pain, increasing swelling, vomiting, fever, a testicle that sits higher than the other, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Title: scrotal pain, epididymitis, torsion of the appendix testis
Torsion unlikely; appendix testis; epididymitis; torsion concern
Urgent torsion evaluation and ED
Doppler ultrasound normal or ordered
UA negative or pyuria with culture
Gonorrhea and chlamydia testing
Supportive care; Keflex for UTI; Rocephin and Doxycycline for STI
Voiding and constipation counseling for younger boys
Follow-up if not improving, 1 week, after ultrasound
Emergency line for torsion in the paragraph

Return precautions in the template

sudden or severe testicle painincreasing swellingvomitingfevera testicle that sits higher than the other

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.