Immediate Questions

A. Is swelling painful? Painful swelling is associated with torsion, infections, and incarcerations, whereas nonpainful swelling may suggest testicular tumor.

B. Is there a history of trauma? Keep in mind that traumatic injuries in younger children are more likely to go unwitnessed.

C. Is swelling acute or chronic? Epididymal torsion is usually associated with gradual discomfort; testicular carcinoma can present either gradually or acutely.

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