Differential Diagnosis for 81 yo with Left Testicular Pain
- Single most likely diagnosis
- Testicular torsion is unlikely due to the patient's age, but
- Testicular tumor: This is a possible diagnosis given the patient's age and the absence of signs of infection. Testicular tumors can cause pain and are more common in older adults.
- Other Likely diagnoses
- Epididymitis: Although the patient does not have fever, epididymitis can still occur without systemic symptoms, especially in older adults. The absence of warmth or redness does not rule out this diagnosis.
- Hydrocele: A hydrocele can cause testicular pain and is more common in older adults. It may not always be accompanied by other symptoms.
- Varicocele: A varicocele can cause a dull ache in the testicle and is more common on the left side.
- Do Not Miss
- Testicular torsion: Although less likely due to the patient's age, testicular torsion is a medical emergency that requires prompt attention. It can occur at any age and may not always present with typical symptoms.
- Acute spermatic cord torsion or other vascular events: These are rare but potentially life-threatening conditions that could present with testicular pain.
- Rare diagnoses
- Sperm granuloma: A sperm granuloma is a rare condition that can cause testicular pain.
- Testicular infarction: This is a rare condition that can occur due to various reasons, including trauma or vasculitis, and can present with testicular pain.