Differential Diagnosis of Undescended Testis

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30 Questions

What is the most common cause of secondary varicocele?

Hypernephroma

What is the typical age range for varicocele?

5-25 Years

What is the primary reason for the left testicular vein being more prone to varicocele?

It is longer than the right testicular vein

What is the percentage of subfertility cases due to varicocele?

20%

What is the primary symptom of thrombophlebitis in varicocele?

Throbbing pain

What is the primary treatment approach for varicocele?

Psychological support and scrotal support

What is the etiology of an ectopic testis according to Lockwood theory?

Rupture of the gubernaculum

What is the main symptom of torsion of the testis?

Sudden severe agonizing pain in the scrotum

What is the treatment for torsion of the testis?

Urgent exploration, untwist, and orchiopexy

Which of the following is a predisposing factor for torsion of the testis?

Incomplete descended testis

What is varicocele?

Varicosity of the pampiniform and cremasteric plexuses of veins

What is the differential diagnosis of torsion of the testis?

Epididymorchitis and strangulated hernia

What is the aim of Lord's operation in the treatment of vaginal hydrocele?

To make fluids in contact with lymphatics of scrotum

What is a common cause of haematocele?

Trauma

What is the characteristic of the fluid in a spermatocele?

Rich in cholesterol

What is the route of infection in acute epididymorchitis?

All of the above

What is the primary route of spread for tuberculosis epididymitis?

Through the lymphatic system

What is a predisposing factor for acute epididymorchitis?

All of the above

What is the typical presentation of chronic epididymitis?

Enlarged and tender epididymis

What is a local sign of acute epididymorchitis?

Scrotal skin is red and edematous

What is the purpose of an IVP in the diagnosis of tuberculosis epididymitis?

To detect urinary tuberculosis

What is the treatment of choice for tuberculosis epididymitis that does not respond to medication?

Epididymovasectomy

What is the typical appearance of the epididymis in tuberculosis epididymitis?

Enlarged and firm with multiple sinuses

What is the primary cause of chronic epididymitis?

All of the above

What percentage of testicular neoplasms are malignant?

99 %

What is the most common type of testicular neoplasm?

Seminoma

What is the age range for Teratoma?

20-25 years

What is the origin of Seminoma?

Seminiferous tubules

What is the most common type of Teratoma?

Malignant teratoma intermediate

What is a possible presentation of malignant testicular tumors?

All of the above

This quiz covers the diagnosis and treatment of ectopic testis, mal descended testis, and retractile testis, including the Lockwood theory and surgical removal of the testis.

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