Internal Medicine

0521779407-09 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:13

738 Hydrocele Hypercalcemia

Hydrocele..........................................

ARTHUR I. SAGALOWSKY, MD

history & physical

■simple fluid-filled mass in tunica vaginalis

■confined to scrotum most often; may extend to spermatic cord or

peritoneum (communicating type)

■congenital (patent processus vaginalis), spontaneous, or secondary

to inflammation, infection, trauma

■smooth, round, cystic, non-tender scrotal mass

tests

■transilluminates

■ultrasound helpful

differential diagnosis

n/a

management

n/a

specific therapy

■observation if small, asymptomatic

■surgery if symptomatic

follow-up

n/a

complications and prognosis

n/a

Hypercalcemia......................................

DOLORES SHOBACK, MD

history & physical

History

■Nausea, constipation, abdominal pain, decreased mentation, lassi-

tude, thirst, dehydration, reduced urine flow, nocturia, polyuria