1-Position for inspection
in scrotal swelling?-In standing position.
2-Why examination of
scrotal swelling is done in standing position?
-Because direct hernia and varicocele may
be totally missed in lying down position if hernia is present its full extent can be seen only in standing
3-Points to be taken care
in inspection scrotal swelling
Swelling isUnilateral or bilateral, scrotal
or inguinal-scrotal, its relation to
testis, epidedymis, spermatic cord
and penis, also its shape, surface,
size, overlying skin, cough impulse.
3-Points of inspection in
case of overlying skin?
i-Rugosity,ii- redness, iii-oedema,iv-
excoriation,v- vesicles, vi-blackening, vii-ulcers,viii- sinus, ix-scar.
gangrene.-It is idiopathic gangrene of scrotal skin secondary to infection and
5-Where the cough impulse
is to be noted?-Along the line of the
6- How to differentiate
scrotal swelling and inguino-scrotal swelling by palpation?When during palpation the top of swelling is reached it suggestive of scrotal swelling,
if cannot it is suggestive of inguinal-scrotal swelling.
7-What are the points to
be tested in case of cystic swelling?
Fluctuation, Transillumination, Reducibility,
Transillumination.-It is the demonstration of light through the swelling.
transillumination in scrotal swelling?
-Don’t place the torch posteriorly where
the testis will block the light and if the skin is thin or swelling is small, test normal skin illumination, so
it is not mistaken with transillumination.
10- In which case
transillumination is negative?
-Opaque fluid, haemotocele, pyocele,
chylocele, opaque or thick wall, long standing hydrocele.
11-Which scrotal swelling
cannot be reduced?- Hydrocele., Teratoma,
12-Which is reducible
scrotal swelling?-Varicocele, congenital hydrocele.enterocele
13-Which is abnormal hard or soft cord structures can be felt on
-Nodular vas deferens(Beaded) suggest
tuberculosis, Bag of worms suggest varicocele.
14-Points of palpation in
Tenderness, Corded structures, testis ,epididymis, surface, consistency of
swelling, B/L equality ,
15- Hydrocele in female
occurs ? Where? –Yes, Lab. Majora,