scrotal/groin pain

onset

hours days weeks months years sudden gradual

side

Left Right Bilateral

intensity

mild mild-moderate moderate moderate-severe severe

frequency

single episode constant intermittent daily few times a week few times a month

duration

few minutes less than an hour few hours most of the day few days

status

improving unchanged resolved gradually worsening significant worsening

context

trauma yes no swelling/mass yes no

location

groin pubis testis penis

radiation

none groin abdomen thigh testis

quality

debilitating dull pressure superficial sharp throbbing stabbing

timing

daytime upon awakening night time

aggravated by

nothing exercise valsalva leg movements walking/standing lying down

relieved by

nothing rest exercise walking/standing lying down stretching OTC meds prescription meds massage heat ice

other/negatives

all reviewed, negative

inspection

normal

palpation

normal
tender testicle cough impulse inguinal hernia Prehn
cremasteric reflex

other

Assessment

Testicular torsion appendix torsion orchitis hydrocele
epididymis epididymitis spermatocele
spermatic cord varicocele inguinal hernia

acuity

acute insidious

red flags

unlikely torsion

details

Plan

medication

tylenol PO NSAIDs opioids
antibiotics

tests

scrotal/groin US abdo US UA STI CBC

referral

general surgery urology

follow-up

2-4 weeks PRN only

RTC

instructions given

other

SCROTAL/GROIN PAIN

S/

O/

A/

P/