Scrotal mass evaluation: Difference between revisions
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{{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;| | | C03 | | | | | | C04 | | | | | | C05 | | | | | | C06 | |C03=<div style="width: 9em; padding:0.2em;">Yes</div>|C04=<div style="width: 9em; padding:0.2em;">No</div>}}|C05=<div style="width: 9em; padding:0.2em;">Yes</div>|C06=<div style="width: 9em; padding:0.2em;">No</div>}}}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| |}} | |||
{{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>}} | {{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>}} | ||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}} | {{familytree |boxstyle=background: #DCDCDC;| | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}} | ||
Revision as of 13:13, 22 March 2016
|C05=
Yes
|C06=No
}}}}
Evaluation of the scrotal mass | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Painful | Nonpainful | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
High-riding or horizontal testicle; nausea/vomiting? | Transilluminates? | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | No | {{{ C05 }}} | {{{ C06 }}} | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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 | Varicocele | Reducible mass? | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Testicular torsion; urgent surgery | Likely epididymitis/orchitis, possibly incarcerated inguinal hernia, or hemorrhagic testicular cancer | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||