Scoratal Testicular Emergencies - Essay Example

"Scoratal Testicular Emergencies" is a perfect example of a paper on men's reproductive health. This is a diagnosis, which results from the twisting of the spermatic cord. A common cause of painful scrotal swelling in children and adults is testicular torsion. The testis, which hangs more freely, in this deformity, may rotate resulting in torsion of the spermatic cord. With torsion of the testis, it is characterized by swelling besides tenderness and usually lies higher in the scrotum. Testicular torsion causes scrotal or lower abdominal pain where nausea or vomiting frequently accompanies the pain. Therefore, an emergency surgical intervention is required to help treat the patient (Gary & Stephen 474).

            Interview Questions

On examining the 15 years old boy I will ask him these questions.

Symptoms and diagnosis questions

How old are you?

How long have you had the lump on the scrotal area?

Are you experiencing any pain whether abdominal or in scrotal pain?

Are you vomiting?

Are you taking any over the counter medications or supplements and if have you stopped?

Have you had some allergic reactions with some medication before?

When did the swelling start?

Have you had any cancer diagnosis before?

What has been your daily meal recently?

Have you ever had any injury in the scrotum before?

Have any member of your family experienced a condition like yours before?

Have you had any surgery of the scrotum before?

Physical findings.

            After examining the boy, I came across these physical findings. He had discolored skin and a swollen gland at the tip of the penis. In addition, there were some unusual swellings on the body especially at the legs resulting from excess body tissue fluid besides redness of the scrotum and the affected testicles had retracted in a horizontal line (Sam et al 449).

Testing

            When testing for this scrotum testicular torsion as a doctor you need to test for the following. Look for any abnormalities covering the testicle affected and its position. Test whether the testes have an incomplete attachment to the scrotal wall leaving them free to rotate around the vascular pedicle. In addition, look for scrotal discoloration signs besides cases of swelling and redness. Test whether the patient experiences pain in the scrotum or in the abdominal areas(Lippincott & Wilkins p 613).

Diagnosis

            The most essential aspect to determine the correct diagnosis of this testicular emergency is the history data and physical examinations of the patient. For instance, information such as duration of symptoms, pain quality, vomiting, or nausea is important. Diagnosis includes pain, swelling, and redness of the scrotum, a retractile testis, testicular and abdominal pain. This is also a requirement in identifying another diagnosis of testicular torsions such as torsion of the appendix testis, epididymitis, and testicular tumors (Ronald, Dale & James 666).

Plan and care for testicular emergencies.

            Good plans and managed care is a privilege for all patients thus managed care and treatment are crucial for them. In cases where one is diagnosed with testicular torsion emergency, consultations and plans for immediate surgery should be initiated without a delay to help save the patient’s life. In addition, the initial pain medication should be prescribed to patients to help reduce the pain (Jamie Shandro et al . 714).

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