Scrotal (Testicular) Disease Flashcards
Hydrocele:
What is it?
Where is it happening?
What position is it usually in?
How does it feel?
What imaging is done to diagnose and rule out tumour?
Management:
- Why is drainage just temporary?
-
Serous fluid accumulation in the tunica vaginalis
Anterior/inferior to testes
Smooth, transluminal lump (can shine light through it)
USS
Tends to reoccur
Haematocele:
What does it usually happen after?
Where is it happening?
Does it allow light through?
Trauma
Tunica vaginalis
No - it is not transilluminate
Varicocele:
What is it?
Dilated testicular veins, which feel like a bad of worms
Epididymal cyst:
Does it allow light through?
How can you tell it is this?
Yes - it is transilluminate
It is fluctuant
It feels like a completely separate structure?
Epididymo-orchitis:
What is it?
What STI could cause this?
What infectious disease could cause this?
How do they present?
Investigations:
- What is done to look for infections?
- What can be done to test for mumps?
- What imaging can be used to distinguish between this and torsion?
Management - Antibiotics - another Rx depends on the cause.
What are they advised to do?
Inflammation of the epididymis + testes
Chlamydia
Gonorrhoea
Mumps
Swollen, painful epididymis and testes
UTI symptoms - frequency, urgency, dysuria
Urethral discharge
Urine dip and MC+S
Mumps IgM/IgG
Doppler
Advise bed rest and scrotal elevation
