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18 Cards in this Set
- Front
- Back
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One testicle with increased flow on buddy shot, normal parenchyma, enlarged epididymis
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Epididymitis/Orchitis
but.... Same as trauma; Hx is key. |
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Epididymitis/Orchitis - % with only epididymal involvement?
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60- 80%
Epididymis will be enlarged. |
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Increased testicluar blood flow in patchy distribuation assoicated with nodules?
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Testicular germ cell tumors.
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Testicular tumor: What percent lymphoma?
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5-7%.....B-cell NonHodgkins.
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What is important about the testicle in Leukemia?
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"Sanctuary Region" Chemotherapy agents cant cross the blood testis barrier.
-Looks similar to Lymphoma |
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Multiple homogenous, hypoechoic nodules in both testis?
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Testicular lymphoma.
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What is Prehn's sign?
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Relief from testicular pain when scrotum is elvated. Indicative of epididymitis.
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Cremasteric reflex- in what condition is it absent?
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Testicular torsion.
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Most common cause of acute scrotal pain in men over 18?
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Epididymitis.
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Epididymitis - unilater or bilateral
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5-10% bilateral
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Bilateral Orhchitis
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Usually Viral:
Mumps CMV (HIV) |
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Surgery performed in how many hours results in Viable testicular detorsion?
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6 hours: Almost always.
6-12 Hours |
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Two types of testicular torsion:
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Extravaginal
Intravaginal |
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Extravaginal Testicular Torsion
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- fetus or neonates, proximal to tunica vaginalis
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Intravaginal Testicular Torsion
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- adolescents and adults, tunica completely covers testes, preventing fixation of posterior testicle to scrotal wall--> Bell Clapper
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Torsion of appendix testis
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-mimics testicular torsion
-leading cause of acute scrotal pain in children -no treatment required |
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Usual rotational direction of torsion
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Medially, as examiner faces patient
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Partial torsion or spontaneous detorsion
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May have normal or increased blood flow on color doppler
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