Varicocele

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Varicocele

Reproductive system

Male and female reproductive system disorders

Precocious puberty

Delayed puberty

Klinefelter syndrome

Turner syndrome

Androgen insensitivity syndrome

5-alpha-reductase deficiency

Kallmann syndrome

Male reproductive system disorders

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

Male hypoactive sexual desire disorder

Female reproductive system disorders

Amenorrhea

Ovarian cyst

Premature ovarian failure

Polycystic ovary syndrome

Ovarian torsion

Krukenberg tumor

Sex cord-gonadal stromal tumor

Surface epithelial-stromal tumor

Germ cell ovarian tumor

Uterine fibroid

Endometriosis

Endometritis

Endometrial hyperplasia

Endometrial cancer

Choriocarcinoma

Cervical cancer

Pelvic inflammatory disease

Urethritis

Female sexual interest and arousal disorder

Orgasmic dysfunction

Genito-pelvic pain and penetration disorder

Mastitis

Fibrocystic breast changes

Intraductal papilloma

Phyllodes tumor

Paget disease of the breast

Breast cancer

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

Postpartum hemorrhage

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

Reproductive system pathology review

Disorders of sex chromosomes: Pathology review

Prostate disorders and cancer: Pathology review

Testicular tumors: Pathology review

Uterine disorders: Pathology review

Ovarian cysts and tumors: Pathology review

Cervical cancer: Pathology review

Vaginal and vulvar disorders: Pathology review

Benign breast conditions: Pathology review

Breast cancer: Pathology review

Complications during pregnancy: Pathology review

Congenital TORCH infections: Pathology review

Disorders of sexual development and sex hormones: Pathology review

Amenorrhea: Pathology Review

Testicular and scrotal conditions: Pathology review

Sexually transmitted infections: Warts and ulcers: Pathology review

Sexually transmitted infections: Vaginitis and cervicitis: Pathology review

HIV and AIDS: Pathology review

Penile conditions: Pathology review

Assessments

Varicocele

Flashcards

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USMLE® Step 1 questions

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High Yield Notes

15 pages

Flashcards

Varicocele

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Questions

USMLE® Step 1 style questions USMLE

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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?  

Memory Anchors and Partner Content

Summary

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.

Elsevier

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