What disorder of the testes is most likely the diagnosis?
A 29-year-old married computer programmer comes to your clinic, complaining of “something strange” going on in his scrotum. Last month while he was doing his testicular self-examination he felt a lump in his left testis. He waited a month and felt the area again, but the lump was still there. He has had some aching in his left testis but denies any pain with urination or sexual intercourse. He denies any fever, malaise, or night sweats. His past medical history consists of groin surgery when he was a baby and a tonsillectomy as a teenager. He eats a healthy diet and works out at the gym five times a week. He denies any tobacco or illegal drugs and drinks alcohol occasionally. His parents are both healthy. On examination you see a muscular, healthy, young-appearing man with unremarkable vital signs. On visualization the penis is circumcised with no lesions; there is a scar in his right inguinal region. There is no lymphadenopathy. Palpation of his scrotum is unremarkable on the right but indicates a large mass on the left. Placing a finger through the inguinal ring on the right, you have the patient bear down. Nothing is felt. You attempt to place your finger through the left inguinal ring but cannot get above the mass. On rectal examination his prostate is unremarkable.
A) Hydrocele
B) Scrotal hernia
C) Scrotal edema
D) Varicocele
B) Scrotal hernia
Scrotal hernias occur when the small intestine passes through a weak spot of the inguinal ring. The examiner cannot get a finger above the hernia into the ring. Hernias are often caused by increased abdominal pressure, such as in weight lifting. Patients who have a hernia on one side often have another hernia on the opposite side. In this patient's case, a right-sided hernia was repaired as an infant.
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A patient with a diagnosis of depression states to the nurse that she has started taking St. John's wort to help her feel better and tolerate the demands of parenting. The patient has been taking an SSRI for the past several months
The nurse should teach that patient that this combination may result in A) worsened symptoms of depression. B) blood dyscrasias. C) dangerous drug interactions. D) hemostatic instability.
The title of a source listed in a reference list is written in title case (Major words are capitalized).
Answer the following statement(s) true (T) or false (F)