Testicular Disorders: Testicular torsion, Varicocele, Testicular cancer
Testicular Disorders: Testicular torsion, Varicocele, Testicular cancer ( 15 Questions)
The patient reports sudden and severe testicular pain, along with swelling and tenderness of the affected testicle.
The nurse also notes the absence of the cremasteric reflex.
What condition is most likely affecting the patient?
Varicocele. Varicocele is unlikely to cause sudden and severe testicular pain with swelling and tenderness. While it can cause discomfort, it typically does not present with such acute symptoms.
Testicular cancer. Testicular cancer can cause testicular pain and swelling, but it is not typically associated with the sudden and severe pain described in the scenario. Additionally, the absence of the cremasteric reflex is not a common feature of testicular cancer.
Testicular torsion. This is the correct answer. Testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, leading to a sudden and severe testicular pain, along with swelling and tenderness. The absence of the cremasteric reflex is a notable clinical sign of testicular torsion.
Epididymitis. While epididymitis can cause testicular pain and tenderness, it usually develops more gradually and is often associated with infection. The sudden and severe nature of the pain described in the scenario is more indicative of testicular torsion.
Choice A rationale:
Varicocele.
Varicocele is unlikely to cause sudden and severe testicular pain with swelling and tenderness.
While it can cause discomfort, it typically does not present with such acute symptoms.
Choice B rationale:
Testicular cancer.
Testicular cancer can cause testicular pain and swelling, but it is not typically associated with the sudden and severe pain described in the scenario.
Additionally, the absence of the cremasteric reflex is not a common feature of testicular cancer.
Choice C rationale:
Testicular torsion.
This is the correct answer.
Testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, leading to a sudden and severe testicular pain, along with swelling and tenderness.
The absence of the cremasteric reflex is a notable clinical sign of testicular torsion.
Choice D rationale:
Epididymitis.
While epididymitis can cause testicular pain and tenderness, it usually develops more gradually and is often associated with infection.
The sudden and severe nature of the pain described in the scenario is more indicative of testicular torsion.