Patient presents with complaint of swollen testicle, testicular pain, and scrotal swelling.  Onset of testicular swelling is reported as [onset - acute, gradual, insidious].  Patient describes pain as [pain character - sharp, dull, aching, throbbing, constant, intermittent] and localized to [location - right testicle, left testicle, both testicles, entire scrotum].  Associated symptoms may include  inguinal pain, lower abdominal pain, nausea, vomiting, fever, dysuria, hematuria, or urethral discharge.  Physical examination reveals [size and consistency of affected testicle - enlarged, tender, indurated, fluctuant].  Presence or absence of erythema, warmth, and tenderness to palpation noted.  Transillumination [positive or negative].  Cremasteric reflex [present or absent].  Differential diagnosis includes epididymitis, orchitis, testicular torsion, hydrocele, spermatocele, varicocele, inguinal hernia, and testicular tumor.  Assessment for sexually transmitted infections considered based on patient history and risk factors.  Preliminary diagnosis of swollen testicle secondary to [suspected etiology if apparent, otherwise state  etiology to be determined].  Plan includes [diagnostic tests - urinalysis, urine culture, complete blood count, ultrasound of scrotum].  Treatment plan may include [treatment options - pain management with NSAIDs or other analgesics, scrotal support, antibiotics if infection suspected, urgent urological consultation if testicular torsion suspected, follow up].  Patient education provided regarding potential complications, importance of follow-up care, and when to seek immediate medical attention.  Return to clinic scheduled in [duration].