Summary NURS 6531 FINAL EXAM STUDY GUIDE- Updated 01/2021

NURS 6531 FINAL EXAM STUDY GUIDE- Updated 01/2021 1. Hydrocele Definition: smooth, tense scrotal mass. accumulation of fluid within the tunica vaginalis surrounding the testicle; it may result from a patent processus vaginalis at birth and sometimes closes spontaneously within the first 1 to 2 years of life. Hydroceles are the most common cause of painless scrotal swelling.; in adults often the result of trauma, hernia, testicular tumor, torsion, or a complication of epididymitis. If present in man 30, may be secondary to a testicular tumor (red flag) Presenting Symptoms: Usually painless and may be present for long periods, partially resolve, and recur. Gradual enlargement of the scrotum occurs with marked edema, which may be uncomfortable d/t added weight. May occur secondary to a tumor when excess serous fluid accumulates in the scrotal sac. It will transilluminate but may make testicular palpation difficult. Leik Review: More common in infants. Serous fluid collects inside the tunica vaginalis. During scrotal exam, hydroceles are located superiorly and anterior to the testes and most are asymptomatic. If new-onset hydrocele in an adult or enlarging hydrocele, order scrotal ultrasound and refer to urologist. Differential Diagnoses: Epididymitis, Testicular torsion, epididymal cyst