Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Al Matary
testis Liver
dilution
Page | 1
Liver & Testis Revision Dr. Al Matary
hydatid cyst
Echinococcus multiocularis
Echinococcus granulosus
Echinococcus multiocularis
Malignant hydatid
hydatid malignant
Page | 2
Liver & Testis Revision Dr. Al Matary
segments
gravid segment segment
segment
Embryo
Intestine
systemic portal
Portal GIT Portal
definitive host
Page | 3
Liver & Testis Revision Dr. Al Matary
Embryo
Portal embryo
Cyst
cyst
accidental inter mediate host
free
buttock
Page | 4
Liver & Testis Revision Dr. Al Matary
hydatid
Infection
hydatid cyst
parasite
Page | 5
Liver & Testis Revision Dr. Al Matary
Laminated layer
Parasite
laminated layer
IQ
laminated
fibrosis
fibrosis
adventitia
fibrosis
parasite
activity parasite
Page | 6
Liver & Testis Revision Dr. Al Matary
balance
Parasite
Parasite
balance
parasite
parasite
parasite
Na Cl
Parasite
Scolices
Page | 7
Liver & Testis Revision Dr. Al Matary
Scolices
Scolices
broad capsule
broad capsule
Broad capsule
adventitia
Immune system
laminated layer
parasite
Scolices
Scolices
Broad capsule
Scolices
Page | 8
Liver & Testis Revision Dr. Al Matary
Hydatid cyst
laminated layer
under tension cyst
malignant hydatid
hydatid cyst
Liable for complications
Complications
complications
Cyst, hemorrhage, rupture, pressure, infection & calcification
rupture
Page | 9
Liver & Testis Revision Dr. Al Matary
rupture
Anaphylaxis
Dissemination
anaphylaxis Peritoneum
hepatic veins
Hydatid cyst
brain hydatid cyst
rupture
Anaphylaxis
Dissemination
dissemination anaphylaxis
obstructive jaundice
Hepatic vein
Dissemination
Page | 10
Liver & Testis Revision Dr. Al Matary
Anaphylaxis
anaphylaxis
dissemination hepatic vein
jaundice common bile duct
complications
Infection
calcification Pressure
anaphylaxis
dissemination hepatic vein
jaundice common bile duct
hydatid cyst
Clinical pictures
asymptomatic
hydatid cyst
Hydatid cyst
Hydatid cyst
Hydatid cyst
Hydatid cyst
Page | 11
Liver & Testis Revision Dr. Al Matary
Hydatid cyst
check up
swelling check up
Hydatid thrill
thrill
hydatid thrill Liver cyst
How ever
asymptomatic
liver cystic swelling
hydatid thrill
complicated
Jaundice common bile duct
anaphylaxis Periton
Hydatid cyst
asymptomatic
discovered accidently
thrill Liver cyst
Page | 12
Liver & Testis Revision Dr. Al Matary
dull Resonant
asymptomatic
liver cystic swelling
Pleural effusion
complications
check up
check up
check up
check up
thrilling
liver
cyst
cyst Liver
hydatid cyst
cyst
hydatid
Hydatid
Liver cyst
hydatid
document
serology
Complement fixation test
Page | 13
Liver & Testis Revision Dr. Al Matary
Diagnosis
diagnosis
Serology Ultra sound
Serology CT scan
Positive serology
Serology
Complement fixation
Indirect haemagglutination
Casoni
70 % 60 % accuracy
Para
parasitology
complement
Page | 14
Liver & Testis Revision Dr. Al Matary
Hydatid cyst
Jaundice
Obstructive
Investigation
ERCP
Investigations
Liver function tests ( LFTs )
Kidney function tests (KFTs )
kidney
sonar
ERCP
Investigation of choice
ERCP
cyst common bile duct ERCP
cyst
hydatid cyst
cyst
cyst Hydatid
Page | 15
Liver & Testis Revision Dr. Al Matary
hydatid cyst
Sero
Serology
serology
hydatid cyst
serology
Treatment
hydatid cyst
complications
medical treatment
surgery
medical treatment
medical treatment
antigenicity
Page | 16
Liver & Testis Revision Dr. Al Matary
antigenic
antigenicity
cyst
Parasite
cyst
Parasite
Parasite Medical treatment
surgery
medical
Medical treatment
Medical treatment
Medical treatment
brain Hydatid cyst medical treatment
Liver lung
medical treatment hydatid cyst
Medical treatment
medical treatment
Page | 17
Liver & Testis Revision Dr. Al Matary
one
One month Mebendazole 200 mg
Albendazole
Mebendazole
Enucleation
plane of cleavage
Enucleation
Enucleation
Under tension cyst
daughter cyst adventitia
Parasite
Parasite Medical treatment
adventitia
adventitia
adventitia
Enucleation
hypertonic saline
Betadine
Formalin
Page | 18
Liver & Testis Revision Dr. Al Matary
parasite
parasite
adventitia
double way syringe
Enucleation
Parasite
laminated layer
germinal layer
germinal layer
Parasite
cavity
cavity
Omentum
Omentum
omentoplasty Enucleation
Page | 19
Liver & Testis Revision Dr. Al Matary
omentoplasty Enucleation
Hydatid cyst
Partially lobectomy
Entamoeba
Primitive
Entamoeba Histolytica
Entamoeba
Entamoeba
cyst
Page | 20
Liver & Testis Revision Dr. Al Matary
Entamoeba
Entamoeba
Entamobea
Entamobea
Entamoeba
Entamoeba
Proteolytic enzymes
Amoebic ulcer
dysentery
blood vessel
Blood vessel
blood Mucous
Page | 21
Liver & Testis Revision Dr. Al Matary
Portal Liver
Liver
Liver Entamoeba
Liver Entamoeba
Page | 22
Liver & Testis Revision Dr. Al Matary
Entamoeba
Entamoeba
Liver
Entamoeba
Entamoeba
Stool
Entamoeba
Entamoeba
anchovy sauce Chocolate
Chaggy
irregular chaggy
Page | 23
Liver & Testis Revision Dr. Al Matary
anchovy sauce
pyogenic membrane
true abscess
true abscess secondary infection
Hydatid cyst
fibrosis
fibrosis amoebic liver abscess
chronic
pyogenic membrane amoebic liver abscess
good immunity chronicity
Means good immunity chronicity
parasite
good immunity means chronicity
Page | 24
Liver & Testis Revision Dr. Al Matary
Complications
diaphragm
diaphragm
striated muscles
proteolytic enzymes
Lung
diaphragm
dyspnea
fatal
Page | 25
Liver & Testis Revision Dr. Al Matary
fatal Entamoeba
Fatal Amoebic myocarditis
Entamoeba
Proteolytic enzymes
diaphragm
diaphragm
Proteolytic enzymes
amoebiasis cutis
Entamoeba
Amoebiasis cutis
amoebiasis cutis
Clinical pictures
Type of patient
Page | 26
Liver & Testis Revision Dr. Al Matary
acute cholecystitis
Sonar
focal lesion
abscess
Liver focal lesion
hepatoma
pain
pain Hepatoma
hepatoma
Page | 27
Liver & Testis Revision Dr. Al Matary
Pain
clinical pictures
but major pain and minimal fever acute cholecystitis
Pleural effusion
diaphragm diaphragm sympathy
Sympathy
Investigations
Acute cholecystitis
right shoulder radiating pain
edema rebound tenderness regidity
Page | 28
Liver & Testis Revision Dr. Al Matary
sonar
Normal gall bladder
Liver focal lesion
stool analysis
Entamoeba stool analysis
amoebic liver abscess
Entamoeba
Investigations
text
right hypochondrium pain
stool stool analysis regidity edema
Page | 29
Liver & Testis Revision Dr. Al Matary
Ultra sound
test
CT scan
test
Treatment
Mainly amoebicidal
Luminal
tissues Mainly
Luminal amoebicidal
tissue amoebicidal Luminal
tissue amoebicidal
Page | 30
Liver & Testis Revision Dr. Al Matary
500 mg 250 mg
750 mg
250 mg
750 mg
tolerate
Patient compliance
Metalic taste
500 mg
500 mg 750 mg
Diagnostic
Therapeutic
Page | 31
Liver & Testis Revision Dr. Al Matary
exmainer
amoebiasis cutis
Entamoeba
amoebiasis cutis
covered by Entamoeba
Page | 32
Liver & Testis Revision Dr. Al Matary
thick
Multilocular
Loculi
by ultra sound
Open surgery
Right lobe
extra peritoneal extra pleural 12
Page | 33
Liver & Testis Revision Dr. Al Matary
3D 2D
amoebic myocarditis
Which is fatal
Hepatoma
Hepatoma
adenoma
GIT GIT Adenoma
Liver adenoma
GIT
Liver Adenoma
Page | 34
Liver & Testis Revision Dr. Al Matary
Liver adenoma
Hormonal sensitive
Liver adenoma
contra ceptive pills
Liver
Liver
Hereditary chronic irritation benign tumor
malignant adenoma
malignant
pills
adenoma
sensitive Hormonal
Page | 35
Liver & Testis Revision Dr. Al Matary
Liver adenoma
Pills
Pills
pills
Pills
Hepatoma
hepatoma
Liver cirrhosis Hepatoma
Hepatoma Hepatoma
Hepatoma
Cirrhosis
Cirrhosis Hepatoma
Page | 36
Liver & Testis Revision Dr. Al Matary
fibrolamellar type
fibrolamellar type
fibrolamellar type
Clinical pictures
Liver cirrhosis
well trained
Needle
Page | 37
Liver & Testis Revision Dr. Al Matary
Hepatitis C
Hepatitis C
sonar
jaundice Hepatoma
terminal case ascites
terminal case
hepatoma
Health sudden deterioration Liver cirrhosis
Investigations
Hepatoma
Seminoma Hepatoma
tumor marker
fine needle aspiration
tumor marker hepatoma
fine needle aspiration
seminoma Hepatoma
tumor marker
Page | 38
Liver & Testis Revision Dr. Al Matary
Liver
Falciform ligament
Right lobe
Left lobe
plane of Cantlie
Liver
Liver
Falciform ligament
Liver
Right liver
Left liver
Page | 39
Liver & Testis Revision Dr. Al Matary
segment Liver
segments
segments right liver segments left liver
principals plane
Left liver
right liver segments
Left liver
right Liver
Hepatoma
formal hepatic resection
anatomical hepatic resection
segmentectomy segment
Segmentectomy
Right hepatectomy
Left hepatoectomy
formal hepatic resection
Page | 40
Liver & Testis Revision Dr. Al Matary
biliary atresia
segment
anatomical
segment
cirrhotic
segments
Liver transplantation
Liver transplantation
donor
Page | 41
Liver & Testis Revision Dr. Al Matary
Hepatoma
sex age type of patient
old age Male
predisposing factor
adenoma cirrhosis
adenoma Liver cirrhosis
Liver cirrhosis
malignancy rare adenoma
liver cirrhosis hepatoma
Post hepatitis
Hemochromatosis
Wilson's disease
Wilson contraverse
hepatoma controverse
Liver cirrhosis
Liver cirrhosis
rare adenoma
aflatoxins
Aflatoxins
Fungus
Page | 42
Liver & Testis Revision Dr. Al Matary
Hepatoma
fungus
aflatoxins
Cirrhosis
Adnoma
aflatoxins
Pathology
Solid organ
star shaped mass Solid organ
single
Multiple
Multiple
focus cirrhosis liver
examiner
multiple single
Liver
star shaped mass
star shaped mass
Single
Multiple
Mulitple
star shaped mass
Page | 43
Liver & Testis Revision Dr. Al Matary
fibrolamellar type
lamelle of fibrous tissue malignant hepatocyte
fibrolamellar type
fibrolamellar type
cirrhotic Liver
Malignant hepatocyte lamelle of fibrous tissue
alpha feto protein
Hepatoma
alpha feto protein tumor marker Hepatoma
alpha feto protein
Carboxy prothrombin
carboxy prothrombin Marker
Healthy liver
cirrhotic liver
Page | 44
Liver & Testis Revision Dr. Al Matary
good prognosis
spread
Direct
Lymphatic
Blood
Hypertension diabetes
hepatoma
hypertension diabetes
Ectopic ACTH diabetes hypertension Hepatoma
buffalo hump moon face
Moon face
buffalo hump Moon face Cachexia
Page | 45
Liver & Testis Revision Dr. Al Matary
General
Cachexia
supra clavicular lymph nodes
site of virchow
sign
general examination
Cachexia
Virchow's
general 3/4
Virchow's Cachexia
local
Hepatoma
solid cystic Liver mass
Murmur
Mamoun sign sign
Page | 46
Liver & Testis Revision Dr. Al Matary
hepatoma
tumor Murmur
venous hum Murmur
arterial venous
arterial Murmur
venous venous hum
venous hum
pistol shot
rumbling murmur machinery murmur
augmentation
Page | 47
Liver & Testis Revision Dr. Al Matary
Investigations Hepatoma
tumour marker
CT scan
Marker
alpha feto protein
fibrolamellar type
carboxy prothrombin
angio
Angio
angio
hepatic angio
liver
Hepatic artery
Coeliac trunk
Aorta
femoral artery
external iliac
external iliac
common iliac
common iliac
Aorta
Aorta
Coeliac trunk
Coeliac trunk
Page | 48
Liver & Testis Revision Dr. Al Matary
Hepatic artery
Portal vein
portal vein
dark Hepatoma
dark Hepatoma Liver
regional chemotherapy
Hepatic artery
Hepatoma
tumor marker CT scan
Page | 49
Liver & Testis Revision Dr. Al Matary
hepatoma
angio
Investigations
polycythemia CBC
Para malignant manifestations
complications
Hepatoma
Marker & CT scan
hepatoma
angio
Treatment
Hepatoma
Operable
Inoperable
System
Operable
Formal hepatic resection
cirrhotic liver
safty margin
Liver transplantation contraverse
Page | 50
Liver & Testis Revision Dr. Al Matary
cirrhotic Liver
safty margin
Liver transplantation cirrhotic liver
transplant recurrent
Liver transplantation
Immune suppression chemotherapy
Liver transplantation
Liver transplantation
200
hepatoma
Liver hepatoma
donor
donor
donor
Page | 51
Liver & Testis Revision Dr. Al Matary
left lobe
Hepatoma
Operable
Inoperable
system
operable
by hepatic resection
Inoperable
cryosugery
Page | 52
Liver & Testis Revision Dr. Al Matary
Microwave
radio frequency
radio frequency
alcohol
chemical necrosis
feeding vessel
hepatic artery Left branch Hepatic artery right branch
Liver Metastasis
Liver secondaries
commonest
commonest
Page | 53
Liver & Testis Revision Dr. Al Matary
Umbilicated
Inoperable
Except
Cancer colon
cancer colon
Liver secondaries
cancer colon
secondaries
Liver secondaries
Hepatoma Common
Hepatoma
hepatoma secondaries
Liver Metastasis
umbilicus central necrosis Umbilicated Multiple
secondaries central necrosis
Liver secondaries
seondaries
Clinical picture of the cause
secondary
disease clinical pictures of the cause
Page | 54
Liver & Testis Revision Dr. Al Matary
Liver metastasis
Loss of function swelling liver pain
Investigation
staging
CT scan
900 19
investigation for diagnosis
Diagnosis of the
Of the
MRI CT
MRI CT
MRI CT
MRI
accuracy
19 MRI
accuracy
CT
Page | 55
Liver & Testis Revision Dr. Al Matary
Liver Metastasis
Portal vien
Hepatic artery
Liver
Hepatic vein
MCQ
hepatic flexion cancer colon
Liver
Liver metastasis
treatment
radical
hepatectomy right hemicoloectomy
segmentectomy wedge resection metastasis
right hemicolectomy
operable Metastasis cancer colon
Liver
Page | 56
Liver & Testis Revision Dr. Al Matary
testis
Testis
Liver testis
testis
testis
scrotum gabernuclum cord
Accessory tails
accessory tails
femoral trinagle
superficial inguinal pouch
femoral triangle
abdomen femoral triangle
anatomy
Page | 57
Liver & Testis Revision Dr. Al Matary
femoral trinagle
femoral tringle
femoral triangle
femoral triangle
Inguinal ligament
sartorius
Medial border of adductor longus
sartorius sartorius
femoral triangle
medial border of adductor longus Sartorius Inguinal ligament
femoral triangle
examiner
Page | 58
Liver & Testis Revision Dr. Al Matary
Scarp's fascia
external oblique
Scarp's fascia
external oblique
examiner
anatomy
Page | 59
Liver & Testis Revision Dr. Al Matary
root of penis
root of peins
Perineum
Perineum
scrotum anus
vagina anus
undescended testis
Femoral triangle
Superficial inguinal pouch
Root of penis
Perineum
testis
gabernuculum cord
accessory tails
accessory tails
testis
Go
testis
testis
gabernuculum cord
gabernuculum cord
testis
Page | 60
Liver & Testis Revision Dr. Al Matary
scrotum
testis
gabernuculum
gabernuculum
testis scrotum
testis
testis
scrotum
testis
scrotum testis
scrotum testis
go
cord
cord gabernuculum
testis
testis
cord
testis
testis
Page | 61
Liver & Testis Revision Dr. Al Matary
cord
gabernuculum
gabernuculum
cord
go
cord
gabernuculum
testis
testis
accessory tails
testis
Lockwood theory theory
undescended testis
Maldescended testis
embryology
Page | 62
Liver & Testis Revision Dr. Al Matary
Urogenital testis
Uro genital ridge
Uro
Genital
embryology
left testis right testis
go
left testicle
right testicle
right
left side undescended testis right side undescended testis
right side
embryology
Page | 63
Liver & Testis Revision Dr. Al Matary
4% 30 %
0.8 % adulthood
testis
testis testis
Just
MCQ
scrotum
scrotum
Undescended testis
Not well developed scrotum
Mal descended testis
Page | 64
Liver & Testis Revision Dr. Al Matary
scrotum
Maldescended undescnded
Undescended testis
scrotum
well developed
not well developed
Sterility
Sterility
female male
scrotum bilateral undescended testis
clitrois penis
clitrois vaginal atresia female
bilateral undescended testis Male
Page | 65
Liver & Testis Revision Dr. Al Matary
Undescended testis
examiner
undescended testis
Maldescended testis
well developed scrotum maldescended testis
testis
undescended testis
Inguinal canal Undescended testis
testis
external oblique aponeurosis
inguinal canal
dysgensis
Page | 66
Liver & Testis Revision Dr. Al Matary
fascia transversalis
external oblique
maldescended testis
undescended testis
Maldescended testis
Undescended testis
undescended testis
Page | 67
Liver & Testis Revision Dr. Al Matary
scrotum
not well developed
deviation Median raphe
median raphe
median raphe
how ever
I ll confirm my diagnosis
femoral triangle superficial inguinal pouch perineum root of penis
This confirm my diagnosis
undescended testis
scrotum
Page | 68
Liver & Testis Revision Dr. Al Matary
spermatogensis
35
scrotum
scrotum
scrotum
pampiniform plexus of veins
testis
scrotum
testis
testis
Minimal Minimal
damage Light microscope
electrone microscope
damage electrone microscope
16
Undescended testis
Page | 69
Liver & Testis Revision Dr. Al Matary
16
exocrine
Puberty endocrine function
erection
erection
ejacualtion
secretion seminal vesicles
azospermia semen
undescended testis
undescended testis
Intact hormonal function
spermatogenesis exocrine
seminoma
Page | 70
Liver & Testis Revision Dr. Al Matary
Undescended testis
lesion
Undescended testis
damage minimal
30 seminoma
Normal
seminoma
testis seminoma
dysgenesis
dysgenesis
seminoma
Incidence of seminoma
Page | 71
Liver & Testis Revision Dr. Al Matary
dependent
complications
Infertility
seminoma
Infertility
the same high incidence of seminoma
30 Undescended testis
Normal
seminoma Normal 30
Normal
10,000 1 Normal
seminoma Undescended testis 100,000 10,000
Undescended testis
follow up
testis malignancy
Page | 72
Liver & Testis Revision Dr. Al Matary
rare
common Normal 30
testis
follow up
to preserve
the same incidence of seminoma
torsion
torsion Undescended testis
normal testis
testis scrotum
tunica vaginalis
scrotum testis
testis
tunica vaginalis
testis
Page | 73
Liver & Testis Revision Dr. Al Matary
undescended testis
Infertility
seminoma seminoma
torsion
undescended testis
torsion
Severe pain
Ischemia
appendicitis
scrotum compartment
Page | 74
Liver & Testis Revision Dr. Al Matary
16
torsion
No torsion on top of normal testis
appendicitis
85 %
MCQ
Hernia Undescended testis
strangulated hernia
Page | 75
Liver & Testis Revision Dr. Al Matary
Strangulated hernia
Undescended testis
Investigations
testis Investigations
Lumbar region
iliac fossa
Inguinal canal
Investigations
In accurate
Laparoscope accurate
laparoscope Investigations
50
70
70
solid testis
solid testis
cyst
cyst
Page | 76
Liver & Testis Revision Dr. Al Matary
solid testis
laparoscope laparoscope
testis
laparoscope
Laparoscope
Umbilicus
scrotum
laparo
laparoscope
external ring
Internal ring external ring
internal ring
Internal ring
testis
testis Internal ring
Internal ring
canal Inguinal canal
testis
vanished
investigations
laparoscope
Page | 77
Liver & Testis Revision Dr. Al Matary
Internal ring
testis
vanishing testis
Intra uterine torsion
Investigations
isotope scan
MRI
Ultra sound
Laparoscope
IVP
Urinary congenital anomalies Undescended testis 13.5 %
IVP Laparoscope ultra sound
Undescended testis
bilateral unilateral
Unilateral
Surgical
bilateral
hormonal
Undescended testis
bilateral Unilateral
Page | 78
Liver & Testis Revision Dr. Al Matary
Unilateral
mechanical unilateral
hormonal bilateral
Hormonal therapy
surgical failed
subside edema
testosterone HCG
Page | 79
Liver & Testis Revision Dr. Al Matary
unilateral
Hormonal therapy surgery
surgery
testis cord
testis cord
cord
Undescended testis
cord Mainly
cord
testis
target
cord
testis
cord
testis
cremastric muscle
Page | 80
Liver & Testis Revision Dr. Al Matary
testis
internal spermatic fascia
cord
testis
testicular artery
vas
vas
vas
testicular artery
nutrition of the testis
artery of the vas
90 %
10 %
Page | 81
Liver & Testis Revision Dr. Al Matary
gangrene
testicular artery
abdominal aorta testicular artery
testicular artery
testicular artery
testicular artery
proximal part of the artery abdominal aorta
distal part of the testicular artery testis
auto transplantation
distal of testicular artery proximal of testicular artery
Page | 82
Liver & Testis Revision Dr. Al Matary
testis
testis blood supply
Fowler - Steven
Steven
testis testicular artery
auto transplantation
testis auto transplantation
testicular atrophy 10 %
Undescended testis
Unilateral
bilateral
bilateral
Hormonal
Beta HCG 500 U intra muscular
failed
surgery
Unilateral
surgical
surgery
Page | 83
Liver & Testis Revision Dr. Al Matary
cord Elongation
elongation of the cord
Fowler - Steven
auto transplantation
testis
testis
scrotum
scrotum
scrotum
scrotum
testis
testis
Dartos pouch
Dartos pouch
Dartos muscle scrotum
Dartos pouch
Page | 84
Liver & Testis Revision Dr. Al Matary
fibrosis testis
testis fibrosis
scrotum testis
scrotum testis
Dartos pouch
septum scrotum
septum
testis
testis
testis
septum
Dartos pouch
retractile testis
retractile testis
scrotum
testis
37.5
Page | 85
Liver & Testis Revision Dr. Al Matary
scrotum
35 scrotum
testis
external ring
37.5
Inguinal canal
testis
external ring scrotum
testis
testis testis
cremastric muscle
testis cremastric muscle
cremastric
testis
Page | 86
Liver & Testis Revision Dr. Al Matary
cremastric muscle
scrotum testis
testis
squatting
testis cremastric muscle
testis
Page | 87
Liver & Testis Revision Dr. Al Matary
Normal testis
scrotum
cremastric muscle
spirally arranged
risk
bilateral lesion
testis
testis
Page | 88
Liver & Testis Revision Dr. Al Matary
bilateral Lesion
scrotum
testis
tunica vaginalis
scrotum testis
scrotum
tunica testis
back
Page | 89
Liver & Testis Revision Dr. Al Matary
inversion
Posteriorly epididymis
Upper pole of the testis
Polar inversion
tunica epididymis
tunica congenital anomaly epididymis congenital anomaly
Mesorchium
congenital anomaly testis
Mesentery epididymis
Ovary mesovarium Mesorchium
congenital anomaly
epididymis testis
Mesentery
resistant for eduction redundent Loose testis
Page | 90
Liver & Testis Revision Dr. Al Matary
torsion
epididymo-orchitis
epididymo-orchitis
genito urinary
urinary tract infection
epididymo-orchitis
epididymo-orchitis
urinary tract infection back
epididymis
back Pain
sudden torsion
cord
testis
Page | 91
Liver & Testis Revision Dr. Al Matary
scrotum
cord
twist
testis
Twist
scrotum
scrotum
epididymo-orchitis pain
torsion of the testis pain
Pain congestion
scrotum
scrotum
torsion
Local examination
cord
testis
scrotum
twist cord
High up : testis
elevation of the scrotum scrotum
Page | 92
Liver & Testis Revision Dr. Al Matary
investigations
Duppler
torsion
Surgery
surgery
orchiopexy Untwist
gangernous testis
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