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Scrotal swelling

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A quick review on scrotal swelling. The presentation focuses more on general examination and differential diagnosis related to scrotal swelling.

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Scrotal swelling

  1. 1. SCROTAL SWELLING By: Sundus Mahmood Shafaq Saher Hifza Aslam Sohail Bana
  2. 2. TABLE OF CONTENT OGeneral Definition of swelling OTypes of scrotal swelling OHistory Taking OPhysical Examination ODifferential Diagnosis
  3. 3. DEFINITION OF SWELLING O It’s a transIent abnormal enlargement of a body part or area caused by accumulation of fluid in tissues. O Eg. Scrotal Swelling
  4. 4. TYPES OF SCROTAL SWELLING PAINFUL PAINLESS • Testicular torsion • Testicular tumors • Epididymitis • Varicocele • Hematocele • Hydrocele • Ruptured testis • Spermatocele • Complicated hernia • Hernia • Torsion of testicular appendix • Syphilitic gumma
  5. 5. KEYWORDS O Testicular torsion occurs when the spermatic cord twists, cutting off the testicle's blood supply, a condition called ischemia. O Syphilitic gumma: A gumma (granuloma) is a soft, non- cancerous growth resulting from the tertiary stage of syphilis.
  6. 6. HISTORY TAKING O Biodata O PC O HOPC O Systemic review O Past Medical O Past Surgical O Personal History O Family History O Blood Transfusion O Allergy
  7. 7. PHYSICAL EXAMINATION 1. Inspection 2. Palpation 3. Fluctuation 4. General examination of abdomen on supine position and lymph nodes (paraortic and left supraclavicular) PLEASE SEE THE FOLLOWING VIDEO: http://www.dnatube.com/video/30239/ Clinical-Examination-of-Scrotal-
  8. 8. DIFFERENTIAL DIAGNOSIS 1. Epididymo-orchitis: O Testis & epididymis definable O Testis tender 2. Testicular Tumor: O Testis & epididymis definable O Lump within testis O Testis non-tender 3. Epididymal Cyst: O Testis & epididymis definable O Testis non-tender O Lump separate
  9. 9. 4. Vaginal Hydrocele: O Testis & epididymis undefinable O Transilluminate brightly 5. Torsion Testis: O Testis & epididymis undefinable O Testis Tender 6. Gumma: O Testis & epididymis undefinable

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