Ultrasound: testicular - Revision history

Rossdonaldson1: Rossdonaldson1 moved page Testicular ultrasound to Ultrasound: testicular

2021-04-15T16:44:52Z

Rossdonaldson1 moved page Testicular ultrasound to Ultrasound: testicular

← Older revision	Revision as of 16:44, 15 April 2021
(No difference)

Rossdonaldson1: /* Background */

2020-06-04T20:28:28Z

Background

← Older revision		Revision as of 20:28, 4 June 2020
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	==Background==		==Background==
			[[File:Gray1144.png\|thumb\|Scrotal anatomy]]
			[[File:Figure 28 01 02.jpg\|thumb\|Scrotal anatomy]]
			[[File:Illu testis surface.jpg\|thumb\|1. Epididymis 2. Head of epididymis 3. Lobules of epididymis 4. Body of epididymis 5. Tail of epididymis 6. Duct of epididymis 7. Deferent duct (ductus deferens or vas deferens)]]
	*Testicular torsion is a medical emergency where acute treatment is needed		*Testicular torsion is a medical emergency where acute treatment is needed
	*Testicular salvage rate by time<ref>Patriquin HB, Yazbeck S, Trinh B, et al. Testicular torsion in infants and children: diagnosis with Doppler sonography. Radiology. 1993;188:781-785.</ref>		*Testicular salvage rate by time<ref>Patriquin HB, Yazbeck S, Trinh B, et al. Testicular torsion in infants and children: diagnosis with Doppler sonography. Radiology. 1993;188:781-785.</ref>

Adamhaag: /* Epididymitis */

2017-08-20T18:07:47Z

Epididymitis

← Older revision		Revision as of 18:07, 20 August 2017
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	*Increased epididymal blood flow		*Increased epididymal blood flow
	*Normal testicular appearance		*Normal testicular appearance
			*Compare flow to contralateral testicle

	===[[Hydrocele]]===		===[[Hydrocele]]===
	*Anechoic fluid adjacent to the testicle		*Anechoic fluid adjacent to the testicle

Neil.m.young: Neil.m.young moved page Ultrasound: Testicle to Testicular ultrasound

2016-08-15T14:02:30Z

Neil.m.young moved page Ultrasound: Testicle to Testicular ultrasound

← Older revision	Revision as of 14:02, 15 August 2016
(No difference)

Neil.m.young at 14:01, 15 August 2016

2016-08-15T14:01:18Z

← Older revision		Revision as of 14:01, 15 August 2016
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	==Clips==		==Clips==
	===Normal===		===Normal===
	[File:Normal testicular flow.gif\|250px\|Normal testicular blood flow]]		[[File:Normal testicular flow.gif\|250px\|Normal testicular blood flow]]

	===Abnormal===		===Abnormal===
	====Testicular Torsion====		====Testicular Torsion====

Neil.m.young at 14:00, 15 August 2016

2016-08-15T14:00:43Z

← Older revision		Revision as of 14:00, 15 August 2016
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	==Findings==		==Findings==
	===Normal Testicle===		===Normal Testicle===
	*Equal heterogeneity		*Equal heterogeneity
	*Equal blood flow		*Equal blood flow
	*Minimal fluid around the testicle		*Minimal fluid around the testicle

Neil.m.young at 14:00, 15 August 2016

2016-08-15T14:00:17Z

← Older revision		Revision as of 14:00, 15 August 2016
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	==Background==		==Background==
	*Testicular torsion is a medical emergency where acute treatment is needed		*Testicular torsion is a medical emergency where acute treatment is needed
	*Testicular salvage rate by time		*Testicular salvage rate by time<ref>Patriquin HB, Yazbeck S, Trinh B, et al. Testicular torsion in infants and children: diagnosis with Doppler sonography. Radiology. 1993;188:781-785.</ref>
	Patriquin HB, Yazbeck S, Trinh B, et al. Testicular torsion in infants and children: diagnosis with Doppler sonography. Radiology. 1993;188:781-785.
	**Near 100% within 6 hours		**Near 100% within 6 hours
	**70% within 6-12 hours		**70% within 6-12 hours
Line 12:		Line 11:
	*Spermatic cord		*Spermatic cord
	*Median Raphe		*Median Raphe

	==Indications==		==Indications==
	*Testicular pain or tenderness		*Testicular pain or tenderness

Neil.m.young at 13:59, 15 August 2016

2016-08-15T13:59:35Z

@@ Line 1: / Line 1: @@
-==Anatomy==
+==Background==
 *Testicle - ~2 to 3 cm in width and 3 to 5 cm in length
 *Epididymis - along the posterolateral aspect of each testis
@@ Line 5: / Line 12: @@
 *Spermatic cord
 *Median Raphe
 ==Technique==
-*Linear Transducer
+#Select probe
-*Scanned in longitudinal and transverse axis
+#*Linear probe
-*First the unaffected hemiscrotum
+#Location
-*Coronal scan showing both testicles side by side (Buddy View) should be performed to identify differences in size and echogenicity, and vascularity
+#*Obtain anterior views over the scrotum
-*Power Doppler examination on unaffected side for calibration of machine
+#Landmarks
-==Terms==
+==Documentation==
-*Hyperemia: inflammation and demonstrates increased flow (lots of color) compared to contralateral side
+===Normal Exam===
-**Think -itis and detorsed testicle
+A bedside ultrasound was conducted to assess for signs testicular torsion with clinical indications of right/left testicular pain. The right and left testicles were identified and viewed in the transverse and sagittal plane and assessed with power Doppler. Heterogenicity was similar and blood flow was similar. There was not indications of testicular torsion.
-==Findings and DDX==
+==Clips==
-*[[Epididymitis]] - enlarged epididymis with decreased echogenicity
+===Normal===
-*[[Orchitis]] - enlarged testicle with heterogeneous echogenicity with increased blood flow
+[File:Normal testicular flow.gif|250px|Normal testicular blood flow]]
-*[[Hydrocele]] -  Abnormal collection of fluid in the space between the visceral and parietal layers of the tunica vaginalisin anterolateral portions
+===Abnormal===
-*[[Varicocele]] -  left side, multiple anechoic serpiginous tubular or curvilinear structures of varying sizes (larger than 2 mm in diameter)
+====Testicular Torsion====
-*[[Testicular torsion]] - Power Doppler with absent blood flow in the affected testicle; patient can present early and still have flow
+[[File:Testicular torsion.gif|250px|Absent testicular blood flow]]
 ==See Also==
 *[[Ultrasound (Main)]]
@@ Line 33: / Line 90: @@
 ==References==
 <references/>
-*Sonosite - Last Accessed 12/30/14
+[[Category:Ultrasound]]
 [[Category:Urology]]

Neil.m.young: Text replacement - "==Source==" to "==References== "

2016-06-26T02:19:23Z

Text replacement - "==Source==" to "==References== <references/>"

← Older revision		Revision as of 02:19, 26 June 2016
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	*[[Testicular diagnoses]]		*[[Testicular diagnoses]]

	==~~Source~~==		==References==
			<references/>
	*Sonosite - Last Accessed 12/30/14		*Sonosite - Last Accessed 12/30/14

Ostermayer: Text replacement - "Category: GU" to "Category:Urology"

2016-03-22T17:01:26Z

Text replacement - "Category: GU" to "Category:Urology"

← Older revision		Revision as of 17:01, 22 March 2016
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	*Sonosite - Last Accessed 12/30/14		*Sonosite - Last Accessed 12/30/14

	[[Category: GU]]		[[Category:Urology]]
	[[Category:Radiology]]		[[Category:Radiology]]
	[[Category:Ultrasound]]		[[Category:Ultrasound]]