A quick review on scrotal swelling. The presentation focuses more on general examination and differential diagnosis related to scrotal swelling.

2. SCROTAL SWELLING
By:
Sundus Mahmood
Shafaq Saher
Hifza Aslam
Sohail Bana

3. TABLE OF CONTENT
OGeneral Definition of
swelling
OTypes of scrotal
swelling
OHistory Taking
OPhysical Examination
ODifferential Diagnosis

4. DEFINITION OF SWELLING
O It’s a transIent abnormal
enlargement of a body part
or area caused by
accumulation of fluid in
tissues.
O Eg. Scrotal Swelling

5. TYPES OF SCROTAL
SWELLING
PAINFUL PAINLESS
• Testicular torsion • Testicular tumors
• Epididymitis • Varicocele
• Hematocele • Hydrocele
• Ruptured testis • Spermatocele
• Complicated hernia • Hernia
• Torsion of
testicular appendix
• Syphilitic gumma

6. KEYWORDS
O Testicular torsion occurs
when the spermatic cord
twists, cutting off the
testicle's blood supply, a
condition called ischemia.
O Syphilitic gumma: A gumma
(granuloma) is a soft, non-
cancerous growth resulting
from the tertiary stage of
syphilis.

7. HISTORY TAKING
O Biodata
O PC
O HOPC
O Systemic review
O Past Medical
O Past Surgical
O Personal History
O Family History
O Blood Transfusion
O Allergy

8. PHYSICAL
EXAMINATION
1. Inspection
2. Palpation
3. Fluctuation
4. General examination of abdomen on
supine position and lymph nodes
(paraortic and left supraclavicular)
PLEASE SEE THE FOLLOWING VIDEO:
http://www.dnatube.com/video/30239/
Clinical-Examination-of-Scrotal-

9. DIFFERENTIAL DIAGNOSIS
1. Epididymo-orchitis:
O Testis & epididymis definable
O Testis tender
2. Testicular Tumor:
O Testis & epididymis definable
O Lump within testis
O Testis non-tender
3. Epididymal Cyst:
O Testis & epididymis definable
O Testis non-tender
O Lump separate

10. 4. Vaginal Hydrocele:
O Testis & epididymis
undefinable
O Transilluminate brightly
5. Torsion Testis:
O Testis & epididymis
undefinable
O Testis Tender
6. Gumma:
O Testis & epididymis
undefinable