Varicocele
Varicocele
ETP Reproductive System
ETP Reproductive System
Anatomy of the pelvic girdle
Anatomy of the pelvic cavity
Arteries and veins of the pelvis
Anatomy of the male reproductive organs of the pelvis
Nerves and lymphatics of the pelvis
Anatomy clinical correlates: Male pelvis and perineum
Anatomy of the breast
Anatomy of the female urogenital triangle
Anatomy clinical correlates: Breast
Development of the reproductive system
Development of the placenta
Ectoderm
Human development week 3
Prostate gland histology
Penis histology
Testis, ductus deferens, and seminal vesicle histology
Mammary gland histology
Ovary histology
Fallopian tube and uterus histology
Cervix and vagina histology
Anatomy and physiology of the male reproductive system
Puberty and Tanner staging
Testosterone
Anatomy and physiology of the female reproductive system
Estrogen and progesterone
Menstrual cycle
Menopause
Pregnancy
Oxytocin and prolactin
Stages of labor
Breastfeeding
Precocious puberty
Delayed puberty
Klinefelter syndrome
Turner syndrome
Androgen insensitivity syndrome
5-alpha-reductase deficiency
Kallmann syndrome
Hypospadias and epispadias
Bladder exstrophy
Priapism
Penile cancer
Prostatitis
Benign prostatic hyperplasia
Prostate cancer
Cryptorchidism
Inguinal hernia
Varicocele
Epididymitis
Orchitis
Testicular torsion
Testicular cancer
Erectile dysfunction
Sexual dysfunctions: Clinical
Male hypoactive sexual desire disorder
Amenorrhea
Ovarian cysts and tumors: Pathology review
Ovarian cysts, cancer, and other adnexal masses: Clinical
Ovarian cyst
Premature ovarian failure
Polycystic ovary syndrome
Ovarian torsion
Krukenberg tumor
Ovarian sex-cord stromal tumors
Ovarian surface epithelial tumors
Ovarian germ cell tumors
Uterine fibroid
Endometriosis
Endometritis
Endometrial hyperplasia
Endometrial cancer
Endometrial hyperplasia and cancer: Clinical
Choriocarcinoma
Cervical cancer
Pelvic inflammatory disease
Urethritis
Female sexual interest and arousal disorder
Orgasmic dysfunction
Genito-pelvic pain and penetration disorder
Mastitis
Benign breast conditions: Pathology review
Fibrocystic breast changes
Intraductal papilloma
Phyllodes tumor
Paget disease of the breast
Breast cancer
Breast cancer: Pathology review
Breast cancer: Clinical
Hyperemesis gravidarum
Gestational hypertension
Preeclampsia & eclampsia
Gestational diabetes
Cervical incompetence
Placenta previa
Placenta accreta
Placental abruption
Oligohydramnios
Polyhydramnios
Potter sequence
Intrauterine growth restriction
Preterm labor
Abnormal labor: Clinical
Postpartum hemorrhage
Postpartum hemorrhage: Clinical
Antepartum hemorrhage: Clinical
Chorioamnionitis
Congenital toxoplasmosis
Congenital cytomegalovirus (NORD)
Congenital syphilis
Neonatal conjunctivitis
Neonatal herpes simplex
Congenital rubella syndrome
Neonatal sepsis
Neonatal meningitis
Miscarriage
Gestational trophoblastic disease
Ectopic pregnancy
Fetal hydantoin syndrome
Fetal alcohol syndrome
Disorders of sex chromosomes: Pathology review
Prostate disorders and cancer: Pathology review
Testicular tumors: Pathology review
Uterine disorders: Pathology review
Abnormal uterine bleeding: Clinical
Cervical cancer: Pathology review
Vaginal and vulvar disorders: Pathology review
Vulvovaginitis: Clinical
Complications during pregnancy: Pathology review
Congenital TORCH infections: Pathology review
Disorders of sexual development and sex hormones: Pathology review
Infertility: Clinical
Shock: Clinical
Paraphilic disorders: Clinical
Sexually transmitted infections: Clinical
Chlamydia trachomatis
Neisseria gonorrhoeae
Treponema pallidum (Syphilis)
Gardnerella vaginalis (Bacterial vaginosis)
Haemophilus ducreyi (Chancroid)
Human papillomavirus
PDE5 inhibitors
Aromatase inhibitors
Adrenergic antagonists: Alpha blockers
Estrogens and antiestrogens
Progestins and antiprogestins
Androgens and antiandrogens
Uterine stimulants and relaxants
Flashcards
Varicocele
0 of 13 complete
Questions
USMLE® Step 1 style questions USMLE
0 of 2 complete
A 16-year-old boy is brought to the emergency department for evaluation of testicular pain and scrotal swelling. He had an episode of bilateral facial swelling along the jawline several days ago with associated fevers, headaches, and myalgias. The pain is worsened with movement. He has no dysuria. He is not sexually active. Records demonstrate his parents refused vaccinations throughout childhood. Temperature is 38.2°C (100.7°F), pulse is 98/min, and blood pressure is 122/84 mmHg. Physical examination reveals bilaterally enlarged and tender testicles. Stroking of the inner thigh bilaterally results in elevation of the testes. Which of the following is the most likely etiology of this patient’s clinical condition?
Key Takeaways
A varicocele is an abnormal enlargement of the pampiniform venous plexus in the scrotum due to increased venous pressure. It is the most common cause of scrotal enlargement in adult males. Varicoceles are more common on the left side, since the left spermatic vein drains at a right angle first into the left renal vein and then into the inferior vena cava (IVC).
Varicoceles can lead to infertility by raising local temperature, which damages the Sertoli cells of the seminiferous tubules. On scrotal examination, a 'bag of worms' appearance is seen. The lesion does not transilluminate. Doppler ultrasound will show increased blood flow. Varicoceles can be treated with surgery to tie off or remove the affected veins, or with embolization to block the affected veins and seal them shut.