Scrotal Abnormalities

Question 1

what is Fourniers Gangrene?

Answer 1

necrotizing fasciitis of the sub q tissue of the perineum, often involving the scrotum.

Question 2

what sign will make you have a high suspicion of Fournier’s?

Answer 2

pain out of proportion to their physical exam finding

Question 3

signs and SX of Fourniers Gangrene

Answer 3

crepitus
edema of scrotum and other involved skin
blisters
pain
tachy
hypotension

Question 4

what might you see with CT and MRI of Fournier’s Gangrene?

Answer 4

air along the fascial planes or deeper tissue involvement

Question 5

TX of Fournier’s Gangrene

Answer 5

debridement
broad spectrum antibiotics (etrapenem)
fluids
MEDEVAC

Question 6

what is varicocele?

Answer 6

dilation of the pampiniform plexus of spermatic veins (usually left sided)