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Epididymo-orchitis: a differential diagnosis for hip pain in patients with dementia.

Epididymo-orchitis in the elderly is usually associated with urinary tract infections, prostatitis, and urethral manipulations. It usually presents as acute scrotal pain, and specific complaints direct further exam and work up. As persons with dementia are unable to give a history or localize pain, it can be overlooked. It mimicked as hip fracture in the case presented here.