After a fall on a bicycle, a 15-year-old boy is brought to the emergency department complaining of nausea and sudden and acute scrotal pain. There is an absence of the cremasteric reflex. The nurse interprets these findings as being indicative of:
a. hydrocele.
b. varicocele.
c. orchiditis.
d. torsion of testicle.
D
Torsion of the testicle causes acute scrotal pain, absence of the cremasteric reflex, and nausea and vomiting. This is seen after an accident. Hydrocele refers to accumulation of fluid in the scrotum. Many times the cause is unknown. Hydrocele causes enlargement of the scrotum and usually is painless, but the weight and added bulk of the fluid can cause discomfort. Dilation and clumping of the tributary vessels of the spermatic vein causes the painful swelling called varicocele.
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