Showing posts with label urology. Show all posts
Showing posts with label urology. Show all posts
Wonder Me!
Varicocele = Varicose eel = Due to varicose veins leading to eels (worms) in the skinny bag (aka scrotum) = bag of worms ~by Qt (Reproduction okay with credits to npprep.blogspot.com)
Wonder Me!

Labels: 0 comments | | edit post
Wonder Me!


Upon examination, a classic "blue-dot sign" (ie, a tender nodule with blue discoloration on the upper pole of the testis) may be seen; this finding on the upper scrotum is a typical finding in torsion of the appendix testis (see the image below). However, in the acute setting, differentiating testicular torsion from torsion of the appendix is often impossible, and scrotal exploration should be performed whenever the diagnosis is uncertain


Wonder Me!
UTI = E.Coli
NGU = Chlamydia (Non-gonoccocal urethritis)
Wonder Me!
Mnemonics: Prehn's sign = Positive = ePididymitis = Pull the testicle up = Pain Passed away ~by Qt (Reproduction okay with credits for npprep.blogspot.com)


-----
Wiki: 
Prehn's sign (named after urologist Douglas T. Prehn)[1] is a medical diagnostic indicator that was once believed to help determine whether the presenting testicular pain is caused by acute epididymitis or from testicular torsion.[2] Although elevation of the scrotum when differentiating epididymitis from testicular torsion is of clinical value, Prehn's sign has been shown to be inferior to Doppler ultrasound to rule out testicular torsion.[3]
According to Prehn's sign, the physical lifting of the testicles relieves the pain of epididymitis but not pain caused by testicular torsion.[4]
  • Negative Prehn's sign indicates no pain relief with lifting the affected testicle, which points towards testicular torsion which is a surgical emergency and must be relieved within 6 hours.
Another way to differentiate between epididymitis and torsion on physical examination is checking for the cremaster reflex which is absent in the case of torsion.{current sources indicates cremaster reflex to be present in both torsion and epididymitis: http://www.aafp.org/afp/2009/0401/p583.html}
  • Positive Prehn's sign indicates there is pain relief with lifting the affected testicle, which points towards epididymitis.

https://en.wikipedia.org/wiki/Prehn%27s_sign
Wonder Me!
Varicocele = Varicose + cele = bag of varicose veins = bag of worms
Wonder Me!




If an adolescent child comes in with acute onset of abd pain & vomitting, check the testicles!!! (don't jump to gastroenteritis!!!)

Wonder Me!
Not in the scrotum

Wonder Me!
Headache could also be a symptom of dialysis disequilibrium, which is discussed below. In difficult ... A rapid decline in plasma osmolarity in severe uremia could shift water into brain cells—causing swelling and DDS.

https://books.google.com/books?id=MZrFerROA38C&pg=PA72&dq=uremia+headache&hl=en&sa=X&ved=0ahUKEwi5h-HHoMHSAhUEjVQKHTl7Ads4FBDoAQhEMAk#v=onepage&q=uremia%20headache&f=false
Wonder Me!
Prostate duct


Labels: 0 comments | | edit post