Scrotal swellings Flashcards
Scrotal lump found posterior to the testis?
Epididymal cyst
Which conditions are associated with epididymal cysts? (3)
Polycystic kidney disease
Cystic Fibrosis
von Hippel-Lindau syndrome
What are the two types of hydrocele?
Communicating- caused by patency of the processus vaginalis
Non-communicating: excess fluid production within the tunica vaginalis
What are the examination features of a hydrocele? (3)
Soft, non-tender swelling anterior-inferior to the testis
The mass can be “got above” in examination
Transilluminates brightly
(Usually) left-sided scrotal swelling, feels like a bag of worms in man with difficulty conceiving: diagnosis?
Varicocele
What is a varicocele?
Abnormal enlargement of the pampiniform venous plexus
What could the presence of a varicocele in older men be an indication of?
Renal cell carcinoma
Tender swollen testicle, lying high in the scrotum?
Testicular torsion
How is testicular torsion diagnosed and treated?
Testicular exploration and untorsion
Non-tender lump in the scrotum that cannot be “gotten above”
Inguinoscrotal hernia
Swollen testicle, history of fever and parotid swelling
Orchitis secondary to mumps
“Blue dot” sign?
Torsion of appendix of testis
Unilateral acute onset pain, tenderness and swelling of a testicle?
Epididymo-orchitis
