Scrotal abnormalities Flashcards
Patient presents with TTP of scrotum with ecchymosis, swelling, laceration and bleeding, what condition does the patient have?
Scrotal trauma
What usually occurs secondary to a direct blow to the testis impinging against the pubic symphysis?
Blunt testicular injury
What imaging should be done to a scrotal injury?
US w/colored doppler
What is fournier’s gangrene?
Necrotizing fasciitis of subcutaneous tissues of the perineum often involving the scrotum
What typically begins as a benign infection or simple abscess that quickly leads to widespread necrosis of otherwise previously healthy tissue?
Fournier’s gangrene
Patient presents with tense edema of scrotum, blisters/bullae, crepitus, fever and pain out of proportion to physical exam with tachycardia and hypotension likely has what condition?
Fournier’s gangrene
What imaging should be done for Fournier’s gangrene?
CT and MRI
What surgical intervention should be done for fornier’s gangrene?
Surgical exploration and debridement
What antibiotics should be given for fornier’s gangrene?
Ertapenem
What is a Dilation of pampiniform plexus of spermatic veins and is generally left sided?
Varicocele
Patient presents with asymptomatic mass that is separate from the testes and feels like a “bag of worms” especially while sitting upright, what condition does this patient have?
Varicocele
What could cause the varicocele to increase in size?
Valsalva
Right sided varicocele should raise suspicion for?
Inferior vena cava and intrabdominal pathology
Sudden left sided varicocele should raise suspicion for what?
Left renal vein obstruction or renal tumor
What is a hydrocele?
Collection of peritoneal fluid between the parietal and visceral layers around the testes and spermatic chord
What is a spermatocele?
Fluid filled cyst at the head of the epididymis that may contain nonviable sperm
Patient presents with painless, fluid filled cyst that transilluminates and is distinct from the testes, what condition does this patient have?
Spermatocele
