Examination

Question 1

Differentials of large abdominal mass (3)

Answer 1

1. Over - distended bladder (associated urinary retention)
2. Prostate cancer
3. Bladder cancer

Question 2

How are the kidneys palpated on abdominal exam? (6)

Answer 2

Ballotable
At the end of inspiration
Enlarge inferiorly
Rounded margin
Upper border can be felt
No notch as with spleen

Question 3

What is felt for on examination of scrotum (6)

Answer 3

Content (both testes present, epididymis, spermatic cord )
Volume testes( normal 15-25 ml)
Consistency (firm)
Texture
Size
Shape