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Scrotum
Diagnostic Medical Sonography
48
Medical
Undergraduate 1
09/13/2011

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Cards

Term
ultrasound
Definition
  • Modality of choice to evaluate scrotum
  • Exellent ability to image intratesticular and extratesticular abnormalities
  • Differentiates cystic from solid
  • accurately diagnosises torsion
Term
Color doppler
Definition
Used to diagnose an inflammatory disease from ischemia
Term
the testes
Definition
Symmetric, oval-shaped glands residing in the scrotum
Term

3-5cm in length

2-cm in width

3cm in height

Definition
Normal measurements of the testis
Term
rete testis in the mediastinum
Definition
each testis is made up of seminiferous tubules and these converge at the apex to form what?
Term
Epididymis
Definition
tubular stucture beginning superiorly and then coursing posterior and lateral to the testis
Term
6-7cm long
Definition
Length of the epididymis
Term
head, body, and tail
Definition
Epididymis is divided into what?
Term
head measuring 8-15mm
Definition
What is the largest part of the epididymis and what does it measure?
Term
coarser in texture
Definition
The epididymis may appear a bit whay compared to the testis?
Term
body
Definition
Which part of the epididymis may be difficult to visualize by ultrasound?
Term
isoechoic and hypoechoid
Definition
The epididymis appears how on ultrasound?
Term
appendix testis
Definition
What may be seen attached at the upper pole of the testis located between the testis and epididymis?
Term
tunica albuginea
Definition
The testis is completely covered by a dense, fibrous tissue termed what?
Term
mediastinum testis
Definition
The posterior aspect of the tunica albuginea reflects into the testis to form a vertical septum known as what?
Term
mediatium testis
Definition
A bright hyperechoic line within the testis
Term
tunica vaginalis
Definition
Lines the inner walls of the scrotum, covering each testis and epididymis
Term
  • Parietal
  • Visceral
Definition
The two layers of the tunica vaginalis
Term
parietal
Definition
The thinner lining of the scrotal wall
Term
Visceral
Definition
Layer that surrounds the testis and epididymis
Term
Preventing torsion
Definition
A small bare area is posterior and keeps the testicle against the scrotal wall preventing what?
Term
layers between of the tunica vaginalis
Definition
Where do hydroceles form?
Term
Are idiopathic or have an unknown cause
Definition
Many hydroceles ?
Term
aorta just below the renal arteries
Definition
Rt and Lt testicular arteries arise from where?
Term
Rt and Lt testicular arteries
Definition
Main supply of blood flow to the testis
Term

A Transtesticular(transmediastinal)

artery

Definition
Sometimes this is visualized coursing through the mediastinum toward the testicular capsule
Term
Capsular artery
Definition
Testicular artery branches into what?
Term
Centripetal arteries
Definition
Capsular artery branches into what?
Term
Centrifugal arteries
Definition
Centripetal areteries branch into what?
Term
Further branch into arterioles and capillaries
Definition
Centrifugal arteries further branch into what?
Term
low resistance waveform
Definition
Testicular arteries should show what resistance ?
Term
constant blood supply
Definition
Organs with low resistance have what?
Term
Pampiniform  plexus
Definition
venous drainage of the scrotum is through what and courses towards the spermatic cord?
Term
left renal vein
Definition
The right testicular vein drains into the IVC and the left testicular vein joind what?
Term
real time, high-resolution
Definition
What type of transducer do you use for scrotum?
Term
testicle retraction and skin thickening
Definition
Why should you avoid a cold room for scrotum exams?
Term
comparison
Definition
Wh do we include an image of both testicles?
Term
Superior and posterior
Definition
The epididymis will be seen where in comparison to the testis?
Term
Rete testes
Definition
Located at the hilum of the testis where the mediatinum resides
Term
cryptorchidism
Definition
Undescended testicle
Term
inguinal canal
Definition
Approx. 80% of cases of undescended testis are found where?
Term
25%
Definition
What percent of undescended testicles are bilateral?
Term
Higher temperatures and infertility, more likely to get cancer and torsion
Definition
Undescended testicles can cause the testicles to be exposed to what and which leads to what?
Term
testicular ectopia
Definition
rare condition, unlike an undescended testicle, and ectopic testicle cannot be manipulated into the correct path of descent
Term
less echogenic and smaller
Definition
undescended testicles appear how on ultrasoud?
Term
Anorchia
Definition
Rare, nonpalpable testis. Empty scrotum. Delayed puberty by hormonal imbalance
Term
Polyorchidism
Definition
rare, only 80 cases reported, testicular duplication
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