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First Aid for the USMLE Step 2 CK (10th Ed.)
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Scrotal Swelling

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First Aid for the USMLE Step 2 CK (10th Ed.) | Medicine (MD/DO) School Study Aid

Scrotal Swelling
4 Picmonics to Learn | 8 mins
Hydrocele
Mechanism
Impaired Lymphatic Drainage
Signs and Symptoms
Large Scrotum
Painless
Considerations
Needle Aspiration or Surgery
Scrotal Support
Monitor for Bleeding and Infection
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1 min
Varicocele
Pathophysiology
Dilation of Pampiniform Plexus Veins
Signs and Symptoms
Soft Left-Sided Scrotal Mass
Bag of Worms
Increased Size with Standing or Valsalva
Decreased Size while Supine
Testicular Atrophy
Subfertility
Diagnosis
Ultrasound
Retrograde Venous Flow
Treatment
Surgical Gonadal Vein Ligation
Scrotal Support
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3 mins
Testicular Carcinoma Assessment
Cause/Mechanism
Seminoma Germ Cells
Non-Seminoma Germ Cells
Assessment
Painless Scrotal Mass
Testicular Swelling
Acute Pain Rare
Elevated Serum Tumor Markers
Considerations
Males Between 15-35 Years Old
Cryptorchidism
Testicular Self Exam
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2 mins
Acute Prostatitis
Etiology
Older Adult
Escherichia coli
Young Adult
Chlamydia trachomatis
Neisseria gonorrhoeae
Signs and Symptoms
Urinary Frequency and Urgency
Dysuria
Low Back Pain
Warm, Tender, Swollen Prostate
Treatment
Treat Underlying Cause
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1 min

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