A 16-year-old boy is brought to the clinic for a problem that he ...

[dbose]

A 16-year-old boy is brought to the clinic for a problem that he refused to let his mother see. The nurse examines him, and finds that he has scrotal swelling on the left side. He had the mumps the previous week,
 
  and the nurse suspects that he has orchitis. Which of the following assessment findings support this diagnosis? Select all that apply.
  a.
  Swollen testis
  b.
  Mass that transilluminates
  c.
  Mass that does not transilluminate
  d.
  Scrotum that is nontender upon palpation
  e.
  Scrotum that is tender upon palpation
  f.
  Scrotal skin that is reddened

Question 2

During a physical examination, the nurse finds that a male patient's foreskin is fixed and tight and will not retract over the glans. The nurse recognizes that this condition is:
 
  a. Phimosis.
  b. Epispadias.
  c. Urethral stricture.
  d. Peyronie disease.

[Perkypinki]

Answer to Question 1

ANS: A, C, E, F
With orchitis, the testis is swollen, with a feeling of weight, and is tender or painful. The mass does not transilluminate, and the scrotal skin is reddened. Transillumination of a mass occurs with a hydrocele, not orchitis.

Answer to Question 2

ANS: A
With phimosis, the foreskin is nonretractable, forming a pointy tip of the penis with a tiny orifice at the end of the glans. The foreskin is advanced and so tight that it is impossible to retract over the glans. This condition may be congenital or acquired from adhesions related to infection.

[dbose]

Excellent

[Kedrick2014]

TYSM