Surgical Quiz Flashcards
What can you conclude if the erythema stops at the edge of the hemiscrotum?
The pathology is contained in the tunica vaginatus
What is the hydatid of morgagni?
Remanent of embryological structure that often tortes in 11 year olds due to oestrogen from testosterone production prior to puberty
What is the most common cause of an acute scrotom?
Torsion of the hydatid of morgagni
When is testicular torsion most common? why?
At 13 after enlargement of testes with puberty
If mesentery is long the testes can twist on it
How does prenatal/perinatal present? Why does it happen?
Non-painful, present at birth
Twists before the testes attaches to the inside of the scrotum after descending
35-42 weeks usually when it occurs, then the scrotum attaches
What is vanishing testes?
A non-identified dead testes than disappears after 6-12 months
What can you conclude if the erythema extends outside the scrotum?
The cause is medical and extends outside the tunica vaginatus
Why might you not feel the classic “bag of worms” in a varicocele?
Because the patient is lying
Bag of worms is felt when the veins are full with blood while they’re standing
What is are the ddx for acute generalised oedema?
Nephrotic syndrome
How do you know the normal size of a testes?
It’s roughly the same size as the glands
What happens to the remaining testes in an absent testes?
It grows 50% larger
