40 year old man is suffering from fever & pain in the scrotum which is not relieved by elevation of testis. 3 days before he had sexual contact with a young female :: (A) Testicular tumour, (B) Acute epididymitis, (C) Torsion of testis, (D) Acute orchitis
Answer is C. Ans. is 'c' ie Torsion of testis Torsion of testis can be differentiated from acute epididymitis by Prehn's sign. ie. On elevation of testis the pain increases in - Torsion On elevation of testis the pain decreases in -- epididymo-orchitis. Don't be confused with fever, it can also occur in torsion, especially in older patients.