A eight year old male child complains of severe pain in right testes. The most probable diagnosis is
In this question, we need to determine the most probable diagnosis for a child with severe pain in the right testis. The options given are based on common conditions affecting the testis in pediatric and urological contexts. Let's analyze each option:
- Torsion of right testis: Torsion of the testis is a surgical emergency that occurs when the spermatic cord twists and cuts off the blood supply to the testicle. It typically presents with sudden and severe pain, often in young males. This condition requires prompt diagnosis and surgical intervention to save the affected testis. Given the acute onset of pain in an eight-year-old boy, this diagnosis is highly probable.
- Strangulated Inguinal hernia: This condition occurs when a part of the intestine protrudes through a weakened spot in the abdominal muscles and becomes trapped, cutting off its blood supply. While it can cause severe pain, it is usually associated with a groin or abdominal mass and systemic symptoms, which are not described in the question.
- Acute epididym-orchitis: This is an inflammation of the epididymis and sometimes the testis, usually due to infection. It is more common in post-pubertal males and is often associated with fever and urinary symptoms, which are not mentioned here.
- Undescended testis: Typically presents in infancy or early childhood as an absent testis in the scrotum rather than acute pain. It is a condition present at birth and less likely to suddenly cause pain at eight years of age.
Given the clinical presentation, Torsion of the right testis is the most likely diagnosis. This condition is characterized by acute testicular pain and requires immediate medical attention to prevent damage to the testis.
Thus, the correct answer is: Torsion of right testis.
Important Questions from Urinary System & Surgical Disorders
Which of the following statements are correct regarding renal cell carcinoma?
1. It arises from the epithelium of the proximal convoluted tubule.
2. It has a female preponderance.
3. Major subtypes are clear cell, papillary and chromophobe.
4. Surgery is the mainstay of treatment for disease. organ-confined
Select the answer using the code given below.
Which of the following are features of autosomal dominant polycystic kidney disease?
1. Cyst may also occur in liver, pancreas and arachnoid membrane.
2. Most commonly manifests between 20-30 years of age.
3. Clinical manifestations are renal and extrarenal.
4. Men tend to progress to renal failure more rapidly than women.
Select the correct answer using the code given below.
- Extracorporal Shock Wave Lithotripsy (ESWL) is most commonly used for the treatment of
Which of the following are correct regarding pathology of stress urinary incontinence?
1. Hypermobility of urethra
2. Ascend of bladder neck and proximal urethra above diaphragm
3. Lowered urethral pressure
4. Increased detrusor activity
Select the answer using the code given below.
Which of the following are correct about ectopic ureters ?
1. They are more common in males
2. They drain the upper pole of kidney
3. They are associated with duplex ureter
4. They may cause incontinence
Select the correct answer using the code given below :
