An 18 year old man comes for an examination prior to participation in school sports. He states that he has a dull ache in scrotum since being hit in that area during basket ball game 2 months ago. Examination showed 2 cm hard non tender mass in right testicle. The mass does not transilluminate...

27 yr male presents with a hard right testicular lump. No other associated complains. On exam lump non tender and solid. Most appropriate next step? a. radical orchidectomy b. USG of testes c. LDH level I am confused bcoz a lil while back i had read some contradictory thing so i got the ans wrong

Hey guys, when are we supposed to give potassium citrate in renal stones? Only when citrate is deficient in diet? Or in uric acid stones to dissolve them? Isnt iv fluids first step in all stones treatment if less than 5 mm?

A 29-year-old man with no past medical history presents to a urologist after 2 years of unsuccessful attempts at conceiving a child. The man states that his wife is 24 years old and has no medical problems. She was evaluated for infertility by a gynecologist, and no abnormalities were found. The...

What is done as the first step of overflow incontinence in BPH , is it intermittent catheterization or bethanechol???

A 28-year-old man presents complaining of heaviness in his testicle for 2 weeks. He states that he feels as though his testicle is enlarged. The man has a temperature of 37.2°C (98.9°F), a heart rate of 60/min, and a blood pressure of 115/70 mm Hg. He has a normal abdominal examination with no...

A 38-year-old man was thrown from his motorcycle and brought to the ED by emergency medical services. The paramedics report his initial vital signs were blood pressure 83/52 mm Hg, pulse 128/min, and respiratory rate 33/min. He was given 2 L of lactated Ringer’s solution en route, and medical...

A 60-year-old man presents to the urologist complaining of difficulty urinating. He states that he frequently gets out of bed in the middle of the night to go to the bathroom. Once he gets to the bathroom he can’t urinate and must “bear down” to do so. He denies any history of sexually...

friends, patient has prostate cancer+ cord compression > steroids given > MRI done > what is next step in mx ? Radiation Flutamide ketoconazole or any thing else i think RT but i dont know why... :rolleyes: thoughts?

A 69-year-old man is admitted to the cardiac intensive care unit with an exacerbation of heart failure. Notable clinical findings include elevated central venous pressure, an S3, pulmonary crackles, and pedal edema. Intravenous furosemide and lisinopril are initiated, and a urinary catheter is...

adult patient presents with asymptomatic gross hematuria . what is the most apt next step in mx of this q ? USG to rule out RCC or cystoscopy to rule out bladder cancer and please give expln ! i think this is super hy. :D

A 17 year old man comes to the emergency department and complains of intensive left flank pain that radiate to the groin.He refer to his symptoms as 'stone passage',which he has experienced "for so many times since childhood". His uncle has the same problem. Urinary shows hexagonal crystals. The...

Can some one tell me if prostate massage should be done in acute prostatitis? MTB say do it, but uw say not to bc of risk of bacteremia

A 22-year-old male notices a painful testicular mass while showering. It persists and begins to worry him. At the time of exam by his primary care doctor, the mass is 2 centimeters, firm, and tender. He also complains of a cough that has been persistent for 2 weeks. The next step in the workup...

A 31-year-old man comes to his physician's office two weeks after being seen in the emergency room for acute nephrolithiasis. He passed his stone in the emergency room and he reports that it was made of calcium oxalate. He is concerned about recurrences, as the pain was very severe. Which of the...

If a stone is between 2-3 cm in size, causing pain but no hydronephrosis...what is the best way to manage it? Surgery? Or Lithotripsy?

A 40-year-old man comes to the physician because of increasing urinary frequency and urgency. He has these symptoms in the past, but they are more troublesome now . He has also had urinary hesitancy and interruption of flow . His temperature is 37C(98.6F), blood pressure is 130/75mm Hg...

A 70-year-old man comes to the physician because of nocturia. He states that over the past two years his urinary frequency has increased and he has to strain while passing urine. He also notes dribbling of a few drops of urine at the end of voiding. Sometimes he has to void again within two...

How to diagnose prostatitis? UWorld says don't do prostatic massage, only collect midstream urine, as massaging can cause bacteremia... MTB says to do massage to obtain sample...

A 62-year-old man presents to your clinic complaining of four days of dysuria, frequency, and urgency. He feels slightly feverish and has had dull, lower-back pain for the past few months. He has had several episodes of the dysuria over the last several months. Each time he was given antibiotics...