PreTest Pediatrics: PreTest Self-Assessment and Review, Thirteenth Edition by Yetman Robert & Hormann Mark

Author:Yetman, Robert & Hormann, Mark
Language: eng
Format: epub, pdf
Publisher: McGraw-Hill Medical
Published: 2013-01-19T05:00:00+00:00

a. Chronic renal failure

b. Arthritis or arthralgia

c. Seizures

d. Unilateral lymphadenopathy

e. Bulbar nonpurulent conjunctivitis

298. A 13-year-old boy’s scrotum is shown below. He complains of several months of swelling but no pain just above his left testicle. He is sexually active but states that he uses condoms. On physical examination, the area in question feels like a “bag of worms.” Which of the following is the most appropriate management for this condition?

(Courtesy of Michael L. Ritchey, MD.)

a. Doppler flow study of testes

b. Radionuclide scan of testes

c. Urinalysis and culture

d. Ceftriaxone intramuscularly and doxycycline orally

e. Reassurance and education only at this time

299. A 3-day-old infant’s scrotum is shown below. Palpation reveals a tense, fluid-filled area surrounding the right testicle. The scrotum transil-luminates well and the amount of fluid does not vary with mild pressure. Which of the following is the most appropriate approach to this condition?

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