Scrotal mass physical examination: Difference between revisions

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==Overview==
==Overview==
Common physical examination findings of scrotal mass include a tender mass which is having a smooth, twisted, or irregular shape and liquid, firm, or solid in consistency. The ipsilateral [[inguinal lymph nodes]] may be enlarged or tender.<ref name=eamsandtestsfroscrtotalmass1>Exams and tests for scrotal mass. US National Library of Medicine 2016. https://www.nlm.nih.gov/medlineplus/ency/article/001283.htm. Accessed on March 22, 2016</ref>
Common physical examination findings of scrotal mass include a tender mass which is having a smooth, twisted, or irregular shape and liquid, firm, or solid in consistency. The ipsilateral [[inguinal lymph nodes]] may be enlarged or tender.
[[Physical culture|physical]] [[Ex-Lax Chocolated|examination]] of scrotal masses depends on causes.common [[Physical Examination|physical]] [[Physical examination|examinations]] in [[Testicular cancer|testicular tortion]] is an elevated ,[[Hoarding disorder|horizontlly]] aligned testicle.
[[Physical culture|physical]] [[Ex-Lax Chocolated|examination]] of scrotal masses depends on causes.common [[Physical Examination|physical]] [[Physical examination|examinations]] in [[Testicular cancer|testicular tortion]] is an elevated ,[[Hoarding disorder|horizontlly]] aligned testicle.
Also they have severe [[tenderness]] and [[Firmacort|firm]] in palpation.[[Cremasteric reflex|Cremastic reflex]] and [[Phrenic|phren sign]] are absent.In [[testicular]] [[Apalutamide|apendix]] [[Tortilla Wall|tortion]] ,[[Phacetoperane|phathognomonic sign]] is [[Blubber|Blue dot]],which is a [[Nodule (medicine)|nodule]] with [[Blue|blue discoloration]].In [[Hydrocele MRI|hydrocele]] [[transillumination]] test will be positive.
Also they have severe [[tenderness]] and [[Firmacort|firm]] in palpation.[[Cremasteric reflex|Cremastic reflex]] and [[Phrenic|phren sign]] are absent.In [[testicular]] [[Apalutamide|apendix]] [[Tortilla Wall|tortion]] ,[[Phacetoperane|phathognomonic sign]] is [[Blubber|Blue dot]],which is a [[Nodule (medicine)|nodule]] with [[Blue|blue discoloration]].In [[Hydrocele MRI|hydrocele]] [[transillumination]] test will be positive.

Revision as of 18:20, 24 October 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Common physical examination findings of scrotal mass include a tender mass which is having a smooth, twisted, or irregular shape and liquid, firm, or solid in consistency. The ipsilateral inguinal lymph nodes may be enlarged or tender. physical examination of scrotal masses depends on causes.common physical examinations in testicular tortion is an elevated ,horizontlly aligned testicle. Also they have severe tenderness and firm in palpation.Cremastic reflex and phren sign are absent.In testicular apendix tortion ,phathognomonic sign is Blue dot,which is a nodule with blue discoloration.In hydrocele transillumination test will be positive.

Physical Evaluation

The physical examination findings of scrotal mass depend on the cause of the mass. The likely diagnoses of a scrotal mass based on physical examination findings include:[1]

Swelling of the Testis


 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling of the testis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Tender, onset <24 hours
 
 
 
 
 
 
 
 
 
 
 
 
 
Nontender, gradual onset
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Torsion versus orchitis
 
 
 
 
 
 
 
 
 
Solid
 
 
 
 
 
Transilluminates
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Emergent surgical referral
 
 
 
 
 
 
 
 
 
Suspect testicular cancer; order sonography or refer
 
 
 
 
 
Hydrocele obscuring testis; order sonography to confirm
 

Adapted from American academy of family physicians.[1]

Swelling of the Epididymis



 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling of the epididymis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Diffusely swollen, tender, acute onset
 
 
 
 
 
 
 
 
 
 
 
 
 
Nodule, stable in size
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Epididymitis
 
 
 
 
 
 
 
 
 
 
 
 
 
Spermatocele; sonography to confirm
 
 
 

Adapted from American academy of family physicians.[1]

Swelling of the Spermatic Cord



 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling of the spermatic cord
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling extends to inguinal ring
 
 
 
 
 
"Bag of worms" texture
 
 
 
 
 
Smooth, transilluminates
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Indirect inguinal hernia
 
 
 
 
 
Varicocele
 
 
 
 
 
Hydrocele
 
 
 

Adapted from American academy of family physicians.[1]

Swelling of the Skin



 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling of the skin
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Irregular, enlarging; occupational risk
 
 
 
 
 
 
 
 
 
 
 
 
 
Smooth, cystic, stable in size
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TRule out squamous cell carcinoma
 
 
 
 
 
 
 
 
 
 
 
 
 
Sebaceous cyst

Adapted from American academy of family physicians.[1]

References

  1. 1.0 1.1 1.2 1.3 1.4 Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016

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