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Renal 2 > Testicular Disorders > Flashcards

Testicular Disorders Flashcards

1
Q

What is the status of testicular tumors vs extratesticular tumors?

A

ET: Benign

TestL Malignant

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2
Q

What is the name of the deformity that pre-disposes someone to Test Torsion?

A

Bell Clapper Deformity

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3
Q

What is the most sensitive test for testicular torsion?

A

Lack of cremasteric reflex

also US with doppler

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4
Q

What is the Tx of Test torsion?

A

Surgically Untwist testicle and anchor to the correct location

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5
Q

What is the cause of Epididymitis?

A

STDs in younger men

Bacterial GU infection in older men

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6
Q

What is the Tx of Epididymitis?

A

Scrotal support

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7
Q

What is Fournier’s Gangrene?

A

Fsciitis of Scrotum, groin and perineum

Imm compromised or diabetic pts

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8
Q

What is the Clinical Presentation of Fournier’s gangrene?

A

Diffuse enlargement, erythema of scrotal wall, necrotic, or ecchymotic patches
High rate of sepsis

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9
Q

What is the Tx of Fournier’s gangrene?

A

Broad spec Abtx covering aerobic and anaerobic organisms

Repeated surgical drainage

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10
Q

What is a hydrocele?

A

Fluid collection between parietal and visceral layers of the tunica vaginalis
Painless and transiluminates

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11
Q

What is a sign of Congenital or infant hydrocele?

A

Fluctuates throughout the day

Tx by high ligation of the hernia sack

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12
Q

How is Adult or acquired Hydrocele treated?

A

Only if painful

Incision in scrotum. take out hydrocele and close up

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13
Q

WHat is the sign of a spermatocele?

A

A double testicle sign from having a fluid buildup behind the testicle

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14
Q

What is a varicocele?

A

Abnormal dilation of veins with bad valves and can cause infertility. More common on the left side

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15
Q

What can happen in trauma to the testicle?

A

Rupture of the tunica albuginea in blunt trauma

Causes a hematocele

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16
Q

What are the consequences of Cryptorchidism?

A

Infertility
Testicular Cancer
Hernia
Torsion

17
Q

What is the local presentation of Testicuar cancer?

A

Painless mass, swellng, firm, heavy. Pain from bleed or infarct

18
Q

What is the US finding of testicle on ultrasound?

A

Heterogeneous appearance

19
Q

What are the tumor markers of a testicular tumor?

A

AFP, BhCG, LDH
Obtain prior to Tx
Resolves after orchiectomy

20
Q

What is the Tx of a testicular tumor?

A

Radical orchiectomy by inguinal approach.

21
Q

Where does testicular cancer mets to?

A

Retroperitoneal nodes

Renal 2 (13 decks)

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