HTHSCI 2F03 Lecture Notes - Lecture 12: Renal Vein, Tunica Vaginalis, Vaginal Process

• School: McMaster University
• Department: Health Sciences
• Course: HTHSCI 2F03
• Professor: Bruce Wainman

Document Summary

Tender, red, warm, swollen testis and epididymis. Urine: dip, mc+s (fist catch may be best) Us: may be needed to exclude abscess. Feel like bag of worms in the scrotum. 1o: left side commoner: drain into left renal vein. 2o: left renal tumour has tracked down renal vein testicular vein obstruction. Surgical: clipping the testicular vein (open or lap) Painful lump of extravasated sperm after vasectomy. Collection of serous fluid w/i tunica vaginalis. Staging: royal marsden classification: disease only in testis, para-aortic nodes involved (below diaphragm, supra- and infra-diaphragmatic lns involved, extra-lymphatic spread: lungs, liver. Afp and hcg in 90% of teratomas. Percutaneous biopsy should not be performed as it may. If both testes are abnormal, semen can be cryopreserved. Groin incision allows cord clamping to prevent seeding. Stage 3-4: as above + chemo (bep) Stage 2: orchidectomy + chemo + para-aortic ln dissection. Acute inflammation of the foreskin and glans. Rfs: dm, young children c tight foreskin.