Paeds Surgical Quiz2

Question 1

Testis is where?

Answer 1

• Intraabdominal structure
• in a satellite peritoneal cavity
• left and right Tunica vaginalis

Question 2

Acute scrotum presentation

Answer 2

Abdo pain.

Inside peritoneal cavity

Question 3

if inflammation stops at edge of hemiscrotum then?

Answer 3

Intraperitoneum
Needs surgeon

Hydatid morgani

Question 4

Scrotal contents

Answer 4

Testicle
Epidydimus

Hydatid morgani

Question 5

If Hydatid Morgani enlargement give what rarer sign?

Why does it torsion?

Answer 5

Onset of puberty and response to estrogen

Question 6

Likely age to get testicular torsion?

Answer 6

Age 13-ish after puberty starts, testis enlarges and longer mesorquim (mesentry)

Question 7

Why would a testicular torsion at birth not be painful?

Answer 7

Already dead, died in utero
Testicle doesn’t attach to scrotum yet. The gubernaculum attachment.
Torsion at spermatic cord upper lvl

Question 8

What is mesorquim?

Answer 8

Mesentry of the testes.

Question 9

How big is the testicle in a kid? Rule of thumb?

Answer 9

As big as the glans

Question 10

3 DDx

Answer 10

Congenital
Inflammatory
Cancer

Question 11

Assymetrical scrotum, think of?

Answer 11

Varicocele

Question 12

Bag of worms for varicocele happens when

Answer 12

When they’re vertical ONLY

Question 13

If there is only one testes, how can you tell

Answer 13

The single testes will be 50% larger if there’s only one.

If not then the other one could been descended

Question 14

Difference between wheal and abscess?

Answer 14

Red inflammation goes over the top

Wheal, the top is white