Condition	Onset of symptoms	Age	Tenderness	Urinalysis	Cremasteric reflex	Treatment
Testicular torsion	Acute	Early puberty	Diffuse	Negative	Negative	Surgical exploration
Appendiceal torsion	Subacute	Prepubertal	Localized to upper pole	Negative	Positive	Bed rest and scrotal elevation
Epididymitis	Insidious	Adolescence	Epididymal	Positive or negative	Positive	Antibiotics