colleges often report a combined tuition and fees figure according to the college board the average cost of tuition and fees for the 2014 2015 school year was $ 31231 at private colleges $ 9139 for state residents at public colleges and $ 22958 for out of state residents attending public universities
One thing that is important in your case is that no visible rash or sores are present on the scrotum. Although the causes of scrotal itch are many like fungal infections, eczema, psoriasis etc but most of them present with a rash. Even eczema presents as patches of chronically itchy, dry, thickened skin.
Causes of painful scrotal swelling include torsion of the testis and its appendages, epididymitis, orchitis, incarcerated hernia, infarcted germ cell tumour, scrotal cellulites, and trauma. Our patient's swelling was self induced. Scrotal cellulitis as a complication of infusion of saline in a 37 year old man has previously been reported but his HIV status was not given. Gaseous inflation of the scrotum causing scrotal emphysema has also been recognised.