#january2020usmle2k
A 55 year-old man presents to the clinic because today he noticed that his left scrotum has suddenly gotten larger. He has no fever or pain. Examination reveals enlarged left scrotum with no tenderness or any signs of inflammation. There is a worm-like mass posterior to the left testicle. The mass illuminates and is not reducible on compression or when the patient lying down.
What is the best next step in management?
A – Assurance and follow up in 2 weeks
B – Abdominal CT scan
C – MRI of the pelvis
D – Urine culture
E – Refer to surgery for urgent reduction
A 55 year-old man presents to the clinic because today he noticed that his left scrotum has suddenly gotten larger. He has no fever or pain. Examination reveals enlarged left scrotum with no tenderness or any signs of inflammation. There is a worm-like mass posterior to the left testicle. The mass illuminates and is not reducible on compression or when the patient lying down.
What is the best next step in management?
A – Assurance and follow up in 2 weeks
B – Abdominal CT scan
C – MRI of the pelvis
D – Urine culture
E – Refer to surgery for urgent reduction
