Testicular Disorders: Testicular torsion, Varicocele, Testicular cancer
Testicular Disorders: Testicular torsion, Varicocele, Testicular cancer ( 15 Questions)
The client mentions that there are enlarged, twisted, and palpable veins within the scrotum.
What condition should the nurse suspect?
Epididymitis is characterized by inflammation of the epididymis, often due to infection. While it can cause scrotal pain, it typically presents with symptoms such as swelling, redness, and fever. Enlarged, twisted, and palpable veins within the scrotum are not characteristic of epididymitis.
Testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, leading to compromised blood flow to the testicle. It presents with severe and sudden scrotal pain, often accompanied by nausea and vomiting. Enlarged veins within the scrotum are not a typical feature of testicular torsion.
Varicocele is the correct choice. A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It often presents as a dull ache and pain in the scrotum, especially after prolonged standing or physical activity. The enlarged, twisted, and palpable veins are a hallmark sign of varicocele.
Testicular cancer can present with painless testicular lumps or swelling, but it does not typically involve enlarged, twisted veins in the scrotum. While testicular cancer should be considered in the differential diagnosis of scrotal pain, it is not the most likely condition based on the provided symptoms.
Choice A rationale:
Epididymitis is characterized by inflammation of the epididymis, often due to infection.
While it can cause scrotal pain, it typically presents with symptoms such as swelling, redness, and fever.
Enlarged, twisted, and palpable veins within the scrotum are not characteristic of epididymitis.
Choice B rationale:
Testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, leading to compromised blood flow to the testicle.
It presents with severe and sudden scrotal pain, often accompanied by nausea and vomiting.
Enlarged veins within the scrotum are not a typical feature of testicular torsion.
Choice C rationale:
Varicocele is the correct choice.
A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins in the legs.
It often presents as a dull ache and pain in the scrotum, especially after prolonged standing or physical activity.
The enlarged, twisted, and palpable veins are a hallmark sign of varicocele.
Choice D rationale:
Testicular cancer can present with painless testicular lumps or swelling, but it does not typically involve enlarged, twisted veins in the scrotum.
While testicular cancer should be considered in the differential diagnosis of scrotal pain, it is not the most likely condition based on the provided symptoms.