During the testicular exam, you palpate a unilateral mass in the scrotum. You are unable to palpate the entire testicle. What is the first thing you should do?
a. Refer the patient to a surgeon.
b. Obtain a testicular sonogram.
c. Obtain a urethral culture and treat for infection.
d. Attempt to transilluminate the mass.
D
If a scrotal mass or enlargement is detected, the first thing you should do is to transilluminate the scrotum. There will be no red glow if the testicle is normal. The transmission of a red glow indicates a serous fluid within the scrotal sac and may be indicative of a hydrocele or a spermatocele. Referring the patient to a surgeon, obtaining a testicular sonogram, and obtaining a urethral culture and treating for infection are not the first priority actions.
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