Scrotal mass evaluation: Difference between revisions
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{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | | | | | |!|}} | {{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | | | | | |!|}} | ||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | C01 | | | | | | | | | | C02 | |C01=<div style="width: 9em; padding:0.2em;">High-riding or horizontal testicle; nausea/vomiting?</div>|C02=<div style="width: 9em; padding:0.2em;">Transilluminates?</div>}} | {{familytree |boxstyle=background: #DCDCDC;| | | | | | | C01 | | | | | | | | | | C02 | |C01=<div style="width: 9em; padding:0.2em;">High-riding or horizontal testicle; nausea/vomiting?</div>|C02=<div style="width: 9em; padding:0.2em;">Transilluminates?</div>}} | ||
{{familytree |boxstyle=background: #DCDCDC;| | | |,|-|-|-|^|-|-|-|.| | | | {{familytree |boxstyle=background: #DCDCDC;| | | |,|-|-|-|^|-|-|-|.| | | |,|-|-|-|^|-|-|-|.| |}} | ||
{{familytree |boxstyle=background: #DCDCDC;| | | D01 | | | | | | D02 |D01=<div style="width: 9em; padding:0.2em;">Presumed torsion<br>Doppler ultrasonogram,<br>urology consult</div>|D02=<div style="width: 9em; padding:0.2em;">Blue dot sign?</div>}} | {{familytree |boxstyle=background: #DCDCDC;| | | D01 | | | | | | D02 | | D03 | | | | | | D04 |D01=<div style="width: 9em; padding:0.2em;">Presumed torsion<br>Doppler ultrasonogram,<br>urology consult</div>|D02=<div style="width: 9em; padding:0.2em;">Blue dot sign?</div>|D03=<div style="width: 9em; padding:0.2em;">Hydrocele</div>|D04=<div style="width: 9em; padding:0.2em;">"Bag of worms" on palpation that increases on Valsalva maneuvers</div>}} | ||
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{{familytree |boxstyle=background: #DCDCDC;| | | | | | | E01 | | | | | | E02 |E01=<div style="width: 9em; padding:0.2em;">Torsion of testicular appendage</div>|E02=<div style="width: 9em; padding:0.2em;">Lack of blood flow on doppler sonogram, C-reactive protein level <24 mg per L</div>}} | {{familytree |boxstyle=background: #DCDCDC;| | | | | | | E01 | | | | | | E02 |E01=<div style="width: 9em; padding:0.2em;">Torsion of testicular appendage</div>|E02=<div style="width: 9em; padding:0.2em;">Lack of blood flow on doppler sonogram, C-reactive protein level <24 mg per L</div>}} | ||
Revision as of 14:33, 21 March 2016
Evaluation of the scrotal mass | |||||||||||||||||||||||||||||||||||||||||||||||||||
Painful | Nonpainful | ||||||||||||||||||||||||||||||||||||||||||||||||||
High-riding or horizontal testicle; nausea/vomiting? | Transilluminates? | ||||||||||||||||||||||||||||||||||||||||||||||||||
Presumed torsion Doppler ultrasonogram, urology consult | Blue dot sign? | Hydrocele | "Bag of worms" on palpation that increases on Valsalva maneuvers | ||||||||||||||||||||||||||||||||||||||||||||||||
Torsion of testicular appendage | Lack of blood flow on doppler sonogram, C-reactive protein level <24 mg per L | ||||||||||||||||||||||||||||||||||||||||||||||||||
Testicular torsion; urgent surgery | Likely epididymitis/orchitis, possibly incarcerated inguinal hernia, or hemorrhagic testicular cancer | ||||||||||||||||||||||||||||||||||||||||||||||||||