What disorder of the scrotum does he most likely have?

A 36-year-old security officer comes to your clinic, complaining of a painless mass in his scrotum. He found it 3 days ago during a testicular self-examination. He has had no burning with urination and no pain during sexual intercourse. He denies any weight loss, weight gain, fever, or night sweats. His past medical history is notable for high blood pressure. He is married and has three healthy children. He denies using illegal drugs, smokes two to three cigars a week, and drinks six to eight alcoholic beverages per week. His mother is in good health and his father had high blood pressure and coronary artery disease. On physical examination he appears anxious but in no pain. His vital signs are unremarkable. On visualization of his penis, he is circumcised and has no lesions. His inguinal region has no lymphadenopathy. Palpation of his scrotum shows a soft cystic-like lesion measuring 2 cm over his right testicle. There is no difficulty getting a gloved finger through either inguinal ring. With weight bearing there are no bulges. His prostate examination is unremarkable.

A) Hydrocele
B) Scrotal hernia
C) Testicular tumor
D) Varicocele


A) Hydrocele

The hydrocele is a fluid-filled cyst originating within the tunica vaginalis. An examining finger can be placed over the mass into the inguinal ring. An outside light source can be placed beneath the scrotum. Hydroceles often transilluminate light, whereas solid tumors do not.

Nursing

You might also like to view...

The community health nurse is using effect theory to design a prevention program for behavioral health. Which of the following would be the most likely place for the nurse to start?

A) Identifying antecedent factors leading to the problem B) Identifying the specific health problem C) Determining the desired health problem impact D) Specifying the health problem outcome

Nursing

Which of the following can be reassuring to a novice researcher who has been asked to critique a research study?

a. A critique is an opinion. If the novice understands the research process and thinks critically, he or she has as much right to an opinion as an expert. b. If the researcher conducting the study has completed many previous studies, the individual critiquing the study can assume a quality study. c. Much of the critique is based on supposition anyway, so the novice has as much expertise as anyone when it comes to writing one. d. Because no one can prove anything in research, but only support previous work, a novice researcher is as skillful as the expert.

Nursing

A herniation is present when the client stands and disappears when the client lies down. What could the nurse infer from this finding?

A. The hernia is strangulated. B. The hernia is incarcerated. C. There is no herniation. D. The hernia is reducible.

Nursing

High-iron diets are ordered:

a. When there is blood loss b. For tissue healing c. For weight reduction d. For heart disease

Nursing