Scrotum lumps Flashcards

1
Q

List differentials of scrotum/groin lumps (7)

A
  • Hydrocele
  • Spermatocele/ epididymal cyst
  • Variocele
  • Epididmysis
  • Testicular tumour
  • Haematocele
  • Orchitis
  • Indirect inguinal hernia
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2
Q

3 ways to diagnose scrotal masses (3)

A
  • Can you get above it?
  • Seperate from testis?
  • Can you get above it?
  • Cystic/solid?
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3
Q

Lump you can’t get above? (2)

A
  • Hydrocele extended proximally

- Inguinalscrotal hernia

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4
Q

Seperate from testis + cystic lump

A

Epidiymal cyst

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5
Q

Seperate from testis + solid lump

A
  • Epididymitis

- Variocele

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6
Q

Testicular cystic lump

A

Hydrocele

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7
Q

Testicular solid lump (3)

A
  • Testicular tumour
  • Haematocele
  • Orchitis
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8
Q

Epididymal cyst/spermatocele (3)

A

Adulthood

  • Clear/milky fluid
  • Lie above + behind testis
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9
Q

Hydrocele

A

Fluid within tunica vaginalis

  • Primary: idio
  • Secondary: x
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10
Q

Two types of hydrocele

A
  • Primary: idiopathic

- Secondary: trauma, infection, malignancy

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