A 4-month-old boy is brought to the clinic by his mother who has noticed a swelling in the right hemiscrotum. On examination, there is a firm mass affecting the right spermatic cord distally, the testis is felt separately from it. What is the most likely diagnosis?
A 30-year-old male presents with pain in the testis and scrotum. It began 10 hours previously and has worsened during that time. On examination, he has pyrexia, the testis is swollen and tender and there is an associated hydrocele. What is the most likely diagnosis?
A 27-year-old male is admitted with left-sided loin pain that radiates to his groin. His investigations demonstrate a 9mm left-sided calculus within the proximal ureter. What is the most appropriate course of action?
A 23-year-old male presents with a persistent and unwanted erection that has been present for the previous 7 hours. On examination, the penis is rigid and tender. Aspiration of blood from the corpus cavernosa shows dark blood. Which of the following is the most appropriate initial management?
A 21-year-old woman is admitted with loin pain and fever. She has given a history of haematuria for the past one week with associated dysuria, for which she was started on trimethoprim as an empirical outpatient treatment.What is the most likely diagnosis?
A 41-year-old man presents with a severe left-sided loin pain radiating to the groin. Imaging demonstrates a 2 mm left-sided calculus in the distal ureter. Renal function is normal. What should be the most appropriate course of action?
A 32-year-old man presents with aching pain and discomfort in his right testicle. He has generally been feeling unwell for the past 48 hours as well. On examination, tenderness of the right testicle and an exaggerated cremasteric reflex has been found. What should be the appropriate course of action?
A 33-year-old man is brought to the A&E department following a road traffic accident. He complains of lower abdominal pain. On examination, a fracture of the pelvis along with distended, tender bladder is observed. What should be the best step of management for distended bladder?
A 51-year-old man is brought to the A&E department following a road traffic accident. He complains of lower abdominal pain. On examination, fracture of the pelvis along with distended, tender bladder is observed. What is the most likely diagnosis?
A 25-year-old man is involved in vigorous intercourse and suddenly feels a snap. His penis becomes swollen and painful immediately after. The admitting surgeon suspects a penile fracture. Which of the following is the most appropriate initial management?