Scrotal mass physical examination: Difference between revisions
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(Created page with "__NOTOC__ {{Scrotal mass}} {{CMG}}{{AE}}{{SR}} ==Overview== ==Evaluation of Scrotal Mass== ==References== {{reflist|2}} Category:Diseases Category:Oncology {{WS}}...") |
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==Overview== | ==Overview== | ||
==Evaluation of | ==Physical Evaluation== | ||
The physical examination findings of scrotal mass depend on the cause of the mass. The likely diagnoses of a scrotal mass based on physical examination findings include:<ref name=pescrotalmass1>Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016</ref> | |||
===Swelling of the Testis=== | |||
{{familytree/start |summary=Swelling of the testis}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | A01 |A01=<div style="width: 9em; padding:0.2em;">'''Swelling of the testis'''</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|.| | |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | B01 | | | | | | | | | | | | | | B02 | |B01=<div style="width: 9em; padding:0.2em;">Tender, onset <24 hours</div>|B02=<div style="width: 9em; padding:0.2em;">Nontender, gradual onset</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | | | | | |,|-|-|-|^|-|-|-|.| |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | C01 | | | | | | | | | | C02 | | | | | | C03 |C01=<div style="width: 9em; padding:0.2em;">Torsion versus orchitis</div>|C02=<div style="width: 9em; padding:0.2em;">Solid</div>|C03=<div style="width: 9em; padding:0.2em;">Transilluminates</div>}} | |||
{{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;| | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | A02 | | | | | | A03 | | | | | | A04 | | | | | | A05 |A02=<div style="width: 9em; padding:0.2em;">Yes</div>|A03=<div style="width: 9em; padding:0.2em;">No</div>|A04=<div style="width: 9em; padding:0.2em;">Yes</div>|A05=<div style="width: 9em; padding:0.2em;">No</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | E01 | | | | | | E02 | | | | | | E03 | | | | | | E04 |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>|E03=<div style="width: 9em; padding:0.2em;">Varicocele</div>|E04=<div style="width: 9em; padding:0.2em;">Reducible mass?</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | E05 | | | | | | E06 | | | | | | E07 | | | | | | E08 |E05=<div style="width: 9em; padding:0.2em;">Yes</div>|E06=<div style="width: 9em; padding:0.2em;">No</div>|E07=<div style="width: 9em; padding:0.2em;">Yes</div>|E08=<div style="width: 9em; padding:0.2em;">No</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| | |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | F01 | | | | | | F02 | | | | | | F03 | | | | | | F04 | |F01=<div style="width: 9em; padding:0.2em;">Testicular torsion; urgent surgery</div>|F02=<div style="width: 9em; padding:0.2em;">Likely epididymitis/orchitis, possibly incarcerated inguinal hernia, or hemorrhagic testicular cancer</div>|F03=<div style="width: 9em; padding:0.2em;">Hernia</div>|F04=<div style="width: 9em; padding:0.2em;">Extratesticular and nontender</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |,|-|-|-|^|-|-|-|.| |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | F05 | | | | | | F06 |F05=<div style="width: 9em; padding:0.2em;">Yes</div>|F06=<div style="width: 9em; padding:0.2em;">No</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | |!| |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | G01 | | | | | | G02 |G01=<div style="width: 9em; padding:0.2em;">Likely benign, further workup as needed</div>|G02=<div style="width: 9em; padding:0.2em;">Doppler sonography prior to urology evaluation</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | H01 | |H01=<div style="width: 9em; padding:0.2em;">Unilateral mass</div>}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| |}} | |||
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | I01 | |I01=<div style="width: 9em; padding:0.2em;">Evaluate for testicular cancer: AFP, B-HCG, and LDH levels; MRI or CT scans may be considered to look for possible metastases and cryopreservation of sperm while awaiting urology evaluation</div>}} | |||
{{familytree/end}} | |||
<SMALL>Adapted from American academy of family physicians.<ref name=pescrotalmass1>Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016</ref></SMALL> | |||
==References== | ==References== | ||
Revision as of 15:40, 22 March 2016
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Scrotal Mass Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Scrotal mass physical examination On the Web |
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American Roentgen Ray Society Images of Scrotal mass physical examination |
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Risk calculators and risk factors for Scrotal mass physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Physical Evaluation
The physical examination findings of scrotal mass depend on the cause of the mass. The likely diagnoses of a scrotal mass based on physical examination findings include:[1]
Swelling of the Testis
Swelling of the testis | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Tender, onset <24 hours | Nontender, gradual onset | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Torsion versus orchitis | Solid | Transilluminates | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | No | Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Presumed torsion Doppler ultrasonogram, urology consult | Blue dot sign? | Hydrocele | "Bag of worms" on palpation that increases on Valsalva maneuvers | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | No | Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Torsion of testicular appendage | Lack of blood flow on doppler sonogram, C-reactive protein level <24 mg per L | Varicocele | Reducible mass? | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | No | Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Testicular torsion; urgent surgery | Likely epididymitis/orchitis, possibly incarcerated inguinal hernia, or hemorrhagic testicular cancer | Hernia | Extratesticular and nontender | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Likely benign, further workup as needed | Doppler sonography prior to urology evaluation | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Unilateral mass | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Evaluate for testicular cancer: AFP, B-HCG, and LDH levels; MRI or CT scans may be considered to look for possible metastases and cryopreservation of sperm while awaiting urology evaluation | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adapted from American academy of family physicians.[1]
References
- ↑ 1.0 1.1 Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016