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Case 27
fam med cases
8
Medical
Graduate
01/26/2011

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Cards

Term
Rubella screening
Definition
all adolescent females (+/- sexual activity)
Term
Chlamydia or ghonnorea
Definition
sexually active females should be screened
Term
Risk factors for testicular cancer
Definition
Genetics (Kleinfelters)
Fam Hx
Cryptochordism
environmental hazards (DES exposure)
testicular cancer
Term
cremasteric reflex is __________ in testicular torsion
Definition
absent
Term
Blue dot sign indicates
Definition
torsion of a testicular appendage
Term
What is Phren's sign?
Definition
lifting the testicle relieves pain of epididymitis but not testicular torsion
Term
DDx of scrotal pain/swelling
Definition
-Trauma
-Testicular torsion (surgical emergency, acute onset scrotal, inguinal, lower abd pain, +nausea, vomiting, cremaster reflex absent)
-Epididymitis (more insidious onset, high fever, freq, urgensy, dysuria, cremaster and phrens sign is present)
-Hydrocele (Cystic painless scrotal fluid collection, transillumination)
-Torsion of appendage (less morbidity than testicular torsion, blue dot sign)
-Tumor (no pain, no transillumination)
-Other: inguinal hernia, HSP, referred pain
Varicoele (dilated and torturous veins, more common on left side bc spermatic vein enters renal vein @ 90 degree)
Term
Studies for scrotal pain
Definition
color doppler ultrasound, radionuclide scintigraphy (100% scintigraphy), CBC, urine analysis, urine culture
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