Abstract
The patients listed below (1–5) all have scrotal swellings, some with associated pain. Match each patient to the single most likely diagnostic option (A–E) listed below. Each option may be used once, more than once or not at all.
Options:
Epididymo-orchitis Epididymal cyst Torsion Tumour Varicocoele
Patients:
A 30-year-old man who has noticed a dragging sensation in his right testis and who has a non-transilluminable swelling which is not felt separate from the testicle. A 50-year-old man who has noticed a dragging sensation in his right testis. On examination, he has a transilluminable mass separate from the testis which is non-tender. A 30-year-old single man who is concerned regarding a recently noted right-sided scrotal swelling. On examination, his testis is clearly felt to be separate from a rather ill defined, non-transilluminable mass which it is not possible to get above. A 30-year-old man with sudden onset of severe right-sided testicular pain associated with abdominal pain and vomiting. A 50-year-old man with severe pain in his right testicle associated with swelling and tenderness becoming worse over 48 hours.