GU

Question 1

What is the diagnostic of choice for epididymitis

Answer 1

ULS

inflammation increases blood flow, which shows up on doppler

Question 2

What is the MCC of scrotal pain

Answer 2

epididymitis

Question 3

What is a spermatocele

Answer 3

it is a cyst on the head of the epididymis that is larger than 2cm

Question 4

Symptoms of orchitis

Answer 4

fever, myalgias, malaise, parotid swelling

this is the extension of epididymal infection into the testis, can be a complication of mumps.

Question 5

If an inguinal hernia is acutely painful, what should you think of?

Answer 5

obstructed vs. incarcerated vs. strangulated

Question 6

What is the MC scrotal pathology in children?

Answer 6

torsion of the appendix testis

Question 7

Difference in pain presentation from torsion of the appendix testis and testicular torsion

Answer 7

Pain of appendix testis is usually more gradual than testicular torsion.

Also the appendix testis tenderness is localized to the anterosuperior testis and no swelling to the testis or epididymis.

Question 8

Phimosis

Answer 8

when the foreskin tightens over the glans and cannot be retracted

Question 9

Paraphimosis

Answer 9

foreskin is retracted and becomes so swollen that it constricts like a tourniquet around the glans

Question 10

Tx for prostatitis

Answer 10

Fluoroquinolone or septra for 4-6 weeks.

add sminoglycoside if toxic

Analgesics