BIOL 171 Lecture Notes - Lecture 10: Testicular Pain, Hydrocele, Orchitis

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Acute scrotum: scrotal trauma presents a challenge because scrotum often is painful and swollen, trauma may be a result of, mva, athletic injury, direct blow to scrotum, straddle injury. Echogenic with numerous, highly visible echoes that can be seen to float or move in real time: with time, hematoceles show low-level echoes & develop fluid levels or septations, presence of hematoceles do not confirm rupture! Is blocked for an extended amount of time, function will be disrupted. Epididymo-orchitis: epididymo-orchitis infection of epididymis and testis, most commonly results from spread of lower urinary tract infection via spermatic cord, sonographic findings, epididymitis appear as enlarged, hypoechoic gland. If secondary hemorrhage has occurred, epididymis may contain focal hyperechoic areas: hyperemic flow confirmed with color doppler. Pyocele: severe cases: pyocele collection of pus, occurs when ous fills spaces between layer of tunica vagilias, usually contain internal septations, locaulations, debris, same appearance can occur following trauma or surgery.

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