Case Study: Testicular Pain Diagnosis

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Questions and Answers

A 20-year-old boy experiences acute testicular pain, and examination reveals an enlarged and tender left testis. Histopathological examination post-orchiectomy shows intense congestion, widespread hemorrhage, and areas of infarction. What is the most likely diagnosis?

  • Testicular torsion (correct)
  • Acute orchitis
  • Testicular atrophy
  • Testicular seminoma

Which of the following conditions is characterized by intense congestion, widespread hemorrhage, and areas of infarction?

  • Testicular torsion (correct)
  • Testicular atrophy
  • Testicular seminoma
  • Acute orchitis

Testicular torsion is a common condition affecting adults.

False (B)

What is the most common age group for testicular torsion?

<p>12 to 18 years old</p> Signup and view all the answers

What is the treatment for testicular torsion?

<p>Surgical emergency</p> Signup and view all the answers

Flashcards

Testicular Torsion

A condition characterized by a sudden onset of severe testicular pain, often accompanied by swelling and tenderness. It occurs due to twisting of the spermatic cord, which cuts off blood supply to the testicle.

Acute Orchitis

Inflammation of the testicle, usually caused by viral or bacterial infections. It presents with pain, swelling, and tenderness of the affected testicle.

Testicular Seminoma

A type of testicular cancer characterized by slow growth and a good prognosis. It usually presents as a painless testicular mass.

Testicular Atrophy

A condition where the testicle shrinks in size, often due to injury, infection, or hormonal imbalances. It can lead to infertility.

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Orchidectomy

A medical procedure involving the surgical removal of one or both testicles. It is often performed to treat testicular cancer or severe cases of testicular torsion.

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Spermatic Cord

The spermatic cord is a bundle of blood vessels, nerves, and lymphatic channels that connects the testicle to the body. It is vital for providing blood supply and lymphatic drainage to the testicle.

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Hemorrhage

A medical term for the process of blood clotting, which is essential for stopping bleeding and preventing blood loss.

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Infarction

An area of dead tissue caused by a lack of blood supply. In the context of testicular torsion, infarction occurs when the blood supply to the testicle is cut off.

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Congestion

A medical term for congestion or blockage of blood vessels, often caused by an obstruction or inflammation. It can lead to reduced blood flow and tissue damage.

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Histopathological Examination

A comprehensive study of the tissues of a body, often performed to diagnose diseases or identify causes of death. It involves examining tissue samples under a microscope to identify abnormalities.

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Study Notes

Case Study: Testicular Pain

  • A 20-year-old male experiences acute testicular pain.
  • Examination reveals an enlarged and tender left testicle.
  • Histological examination following an orchidectomy (surgical removal of the testicle) displays intense congestion, widespread hemorrhaging, and areas of infarction (tissue death due to lack of blood supply).
  • The most likely diagnosis is testicular torsion.

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