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Y4 Nephrology/Urology > lumps in groin > Flashcards

lumps in groin Flashcards

1
Q

state some causes of lumps in the groin and scrotum?

A 
inguinoscrotal hernia 
epididymal cyst 
varicocele 
sperm granuloma 
epididymitis 
hydrocele 
tumour 
orchitis 
haematocele
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2
Q

where do epididymal cysts usually occur?

A

lie above or behind testis

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3
Q

what is a varicocele?

A

dilated veins of pampiniform plexus

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4
Q

what would a varicocele feel like in the stroctum?

A

bag of worms

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5
Q

can varicocele affect fertility ?

A

yes

- can cause oligospermia

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6
Q

what side does primary varicocele happen on?

A

left side

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7
Q

what surgery can be done for varicocele ?

A

testicular vein clipping

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8
Q

what is a sperm granuloma ?

A

painful lump of extravascular sperm after vasectomy

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9
Q

what is a complication of vasectomy?

A

sperm granuloma

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10
Q

within what membrane is hydrocele held?

A

tunica vaginalis

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11
Q

what investigation can be done for hydrocele ?

A

US

- to exclude tumour

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12
Q

state some causes of secondary hydrocele?

A

tumour
infection
trauma

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13
Q

what are the two surgeries for hydrocele ?

A

lords repair

Jaboulays repair

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14
Q

do all hydrocele require surgery?n

A

no

- some resolve spontaneously

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15
Q

what does lords repair consist of ?

A

plication of the sac

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16
Q

what does jayboulays repair consist of ?

A

eversion of the sac

17
Q

what is a disadvantage of aspirating hydroceles?

A

they reoccur

18
Q

state three causes of epididymo-orchitis

A

STI -chlamydia, gonorrhoea
ascending UTI
mumps

19
Q

what is the presentation of epididymo-orchitis ?

A

Sudden onset tender swelling
􏰀 Dysuria
􏰀 Sweats, fever

20
Q

what bloods should be done for epididymo-orchitis ?

A

FBC and CRP

21
Q

what investigations should be done for epididymo-orchitis ?

A

Blood: FBC, CRP
􏰀 Urine: dip, MC+S (fist catch may be best) 􏰀
Urethral swab and STI screen
􏰀 US

22
Q

what is a complication of epididymo-orchitis?

A

infertility

23
Q

what antibiotics should be given for epididymo-orchtiis ?

A

Abx: doxycycline

Y4 Nephrology/Urology (17 decks)

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