Genitourinary

Question 1

TCP mumps

Answer 1

23yo M overseas backpacker presents (or school kid) with 2week hx fever, malaise and myalgia. He has a mild jaw pain with significant swelling. A week later swollen painful scrotum + testes

Question 2

TCP testicular torsion, include O/E

Answer 2

15yo boy presents with sudden, severe 9/10 scrotal pain in the middle of the night- woke him up. No hx of trauma. O/E: nil fever, swollen testes high up in the scortal sac, does not allow palpation.

Question 3

TCP testicular cancer include O/E

Answer 3

38yo M presents with dragging sensation of scrotum for 6 weeks., enlarged unilateral testes. O/E enlarged smooth unilateral non-tender firm testes.

Question 4

TCP penis SCC

Answer 4

82yo M presents with irregular growth on glans penis, slowly enlarging, bleeds on touch

Question 5

TCP epididymoorchitis include O/E

Answer 5

128yo M presents with severe aching pain in left groin, radiating to scrotum since 3 days, with associated fever + rigors. O/E: 4cm, hot, swollen and tender left epididymis + testicle.

Question 6

TCP Henoch schlonlein purpura

Answer 6

Child presents with painful scrotal oedema, purpuric rash over scrotum, buttocks + lower limbs. Arthritis, GI bleeds, nephritis.

Question 7

Hernia TCP

Answer 7

35yo M smoker with chronic cough (COPD pt, weight lifter), presents with recurrent attacks of sharp pain in right groin with small painful bulge, disappears on lying down