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Y4 Nephrology/Urology > lumps in groin > Flashcards

Flashcards in lumps in groin Deck (23)
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1

state some causes of lumps in the groin and scrotum?

inguinoscrotal hernia
epididymal cyst
varicocele
sperm granuloma
epididymitis
hydrocele
tumour
orchitis
haematocele

2

where do epididymal cysts usually occur?

lie above or behind testis

3

what is a varicocele?

dilated veins of pampiniform plexus

4

what would a varicocele feel like in the stroctum?

bag of worms

5

can varicocele affect fertility ?

yes
- can cause oligospermia

6

what side does primary varicocele happen on?

left side

7

what surgery can be done for varicocele ?

testicular vein clipping

8

what is a sperm granuloma ?

painful lump of extravascular sperm after vasectomy

9

what is a complication of vasectomy?

sperm granuloma

10

within what membrane is hydrocele held?

tunica vaginalis

11

what investigation can be done for hydrocele ?

US
- to exclude tumour

12

state some causes of secondary hydrocele?

tumour
infection
trauma

13

what are the two surgeries for hydrocele ?

lords repair
Jaboulays repair

14

do all hydrocele require surgery?n

no
- some resolve spontaneously

15

what does lords repair consist of ?

plication of the sac

16

what does jayboulays repair consist of ?

eversion of the sac

17

what is a disadvantage of aspirating hydroceles?

they reoccur

18

state three causes of epididymo-orchitis

STI -chlamydia, gonorrhoea
ascending UTI
mumps

19

what is the presentation of epididymo-orchitis ?

Sudden onset tender swelling
􏰀 Dysuria
􏰀 Sweats, fever

20

what bloods should be done for epididymo-orchitis ?

FBC and CRP

21

what investigations should be done for epididymo-orchitis ?

Blood: FBC, CRP
􏰀 Urine: dip, MC+S (fist catch may be best) 􏰀
Urethral swab and STI screen
􏰀 US

22

what is a complication of epididymo-orchitis?

infertility

23

what antibiotics should be given for epididymo-orchtiis ?

Abx: doxycycline