Scrotal mass physical examination: Difference between revisions

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{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | |!| | | | | | | |!| | | |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | |!| | | | | | | |!| | | |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | C01 | | | | | | C02 | | | | | | C03 | | | |C01=<div style="width: 9em; padding:0.2em;">Indirect inguinal hernia</div>|C02=<div style="width: 9em; padding:0.2em;">Varicocele</div>|C03=<div style="width: 9em; padding:0.2em;">Hydrocele</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | C01 | | | | | | C02 | | | | | | C03 | | | |C01=<div style="width: 9em; padding:0.2em;">Indirect inguinal hernia</div>|C02=<div style="width: 9em; padding:0.2em;">Varicocele</div>|C03=<div style="width: 9em; padding:0.2em;">Hydrocele</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>
===Swelling of the Skin===
{{familytree/start |summary=Swelling of the skin}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | A01 |A01=<div style="width: 9em; padding:0.2em;">'''Swelling of the skin'''</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|.| | |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | B01 | | | | | | | | | | | | | | B02 | |B01=<div style="width: 9em; padding:0.2em;">Irregular, enlarging; occupational risk</div>|B02=<div style="width: 9em; padding:0.2em;">Smooth, cystic, stable in size</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | | | | | | | | | |!| | |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | C01 | | | | | | | | | | | | | | C02 |C01=<div style="width: 9em; padding:0.2em;">TRule out squamous cell carcinoma</div>|C02=<div style="width: 9em; padding:0.2em;">Sebaceous cyst</div>}}
{{familytree/end}}
{{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>
<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>

Revision as of 19:48, 22 March 2016

Scrotal Mass Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Scrotal Mass from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Studies

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Case #1

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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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Emergent surgical referral
 
 
 
 
 
 
 
 
 
Suspect testicular cancer; order sonography or refer
 
 
 
 
 
Hydrocele obscuring testis; order sonography to confirm
 

Adapted from American academy of family physicians.[1]

Swelling of the Epididymis

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling of the epididymis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Diffusely swollen, tender, acute onset
 
 
 
 
 
 
 
 
 
 
 
 
 
Nodule, stable in size
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Epididymitis
 
 
 
 
 
 
 
 
 
 
 
 
 
Spermatocele; sonography to confirm
 
 
 

Adapted from American academy of family physicians.[1]

Swelling of the Spermatic Cord

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling of the spermatic cord
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling extends to inguinal ring
 
 
 
 
 
"Bag of worms" texture
 
 
 
 
 
Smooth, transilluminates
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Indirect inguinal hernia
 
 
 
 
 
Varicocele
 
 
 
 
 
Hydrocele
 
 
 

Adapted from American academy of family physicians.[1]

Swelling of the Skin

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling of the skin
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Irregular, enlarging; occupational risk
 
 
 
 
 
 
 
 
 
 
 
 
 
Smooth, cystic, stable in size
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TRule out squamous cell carcinoma
 
 
 
 
 
 
 
 
 
 
 
 
 
Sebaceous cyst

Adapted from American academy of family physicians.[1]

References

  1. 1.0 1.1 1.2 1.3 1.4 Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016

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