Wetread Summer Series Case 7
Hx: scrotal pain (we got a bit different hx from the pt...)
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Hx: scrotal pain (we got a bit different hx from the pt...)
Please answer with PROFESSIONALLY APPROPRIATE gif responses only. No spoilers. wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad
#Wetread SS Case 7 Answer: Penile Fracture
Hx was actually classic "Heard pop w/ pain during intercourse"
US shows 1 corpus spongiosum + 2 corpus cavernosa. Examine for rupture of the tunica albuginea which surrounds the CC and CS ->deflation. Hematoma (red) extends proximally.
Hx was actually classic "Heard pop w/ pain during intercourse"
US shows 1 corpus spongiosum + 2 corpus cavernosa. Examine for rupture of the tunica albuginea which surrounds the CC and CS ->deflation. Hematoma (red) extends proximally.
-Hx is typical
-Imaging classic once you get there.
-ER often just orders a scrotal US (need penile US).
-Uncommon so US techs may/may not know how to scan
Get trans/long images looking for CC/CS ruptured hyperechoic albuginea and/or hematoma
Urtheral injuries rare but occur
-Imaging classic once you get there.
-ER often just orders a scrotal US (need penile US).
-Uncommon so US techs may/may not know how to scan
Get trans/long images looking for CC/CS ruptured hyperechoic albuginea and/or hematoma
Urtheral injuries rare but occur
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