16-year-old high school student presents for a routine sports physical. Upon inspection, while performing a hernia check you examine that the right rotum is markedly larger than the left. He denies pain, tenderness, fever, night sweats, and weight loss. On palpation, you feel a fluid-filled mass in the rotum and can get above the mass with your fingers. hich physical exam test would help narrow in a differential diagnosis? swers: A - D A Repeat the scrotal exam with the patient supine B Testing for the absence of cremasteric reflex on the right side C Patient coughs with your finger in the external inguinal ring D Transillumination of the right scrotum O
16-year-old high school student presents for a routine sports physical. Upon inspection, while performing a hernia check you examine that the right rotum is markedly larger than the left. He denies pain, tenderness, fever, night sweats, and weight loss. On palpation, you feel a fluid-filled mass in the rotum and can get above the mass with your fingers. hich physical exam test would help narrow in a differential diagnosis? swers: A - D A Repeat the scrotal exam with the patient supine B Testing for the absence of cremasteric reflex on the right side C Patient coughs with your finger in the external inguinal ring D Transillumination of the right scrotum O
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Transcribed Image Text:**Case Study: Evaluation of Scrotal Swelling in a Teenage Athlete**
A 16-year-old high school student presents for a routine sports physical. During the examination, a hernia check reveals that the right scrotum is significantly larger than the left. The patient reports no pain, tenderness, fever, night sweats, or weight loss. Upon palpation, a fluid-filled mass is detected in the scrotum, and the examiner can move their fingers above the mass.
**Clinical Question:**
Which physical exam test would help narrow in a differential diagnosis?
**Answer Choices:**
- **A:** Repeat the scrotal exam with the patient supine.
- **B:** Testing for the absence of cremasteric reflex on the right side.
- **C:** Patient coughs with your finger in the external inguinal ring.
- **D:** Transillumination of the right scrotum.
This scenario provides a critical thinking opportunity for determining appropriate diagnostic tests to clarify the nature of the scrotal swelling.
Expert Solution
Step 1: The case in brief
A 16-year-old high school student while doing the hernia check, the scrotum on the right was observed larger than on the left. There was no symptoms of pain, tenderness, fever, night sweats, and weight loss. Upon palpation a fluid filled mass was observed.
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