Scrotal mass physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of scrotal mass include a tender mass which is having a smooth, twisted, or irregular shape and liquid, firm, or solid in consistency. The ipsilateral [[inguinal lymph nodes]] may be enlarged or tender.<ref name=eamsandtestsfroscrtotalmass1>Exams and tests for scrotal mass. US National Library of Medicine 2016. https://www.nlm.nih.gov/medlineplus/ency/article/001283.htm. Accessed on March 22, 2016</ref> | |||
==Physical Evaluation== | ==Physical Evaluation== | ||
Revision as of 21:03, 22 March 2016
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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
Common physical examination findings of scrotal mass include a tender mass which is having a smooth, twisted, or irregular shape and liquid, firm, or solid in consistency. The ipsilateral inguinal lymph nodes may be enlarged or tender.[1]
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:[2]
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.[2]
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.[2]
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.[2]
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.[2]
References
- ↑ Exams and tests for scrotal mass. US National Library of Medicine 2016. https://www.nlm.nih.gov/medlineplus/ency/article/001283.htm. Accessed on March 22, 2016
- ↑ 2.0 2.1 2.2 2.3 2.4 Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016