USMLE Forum Archives - USMLE Step 2 CK - Surgical case
Surgical case
laparotomy - 01-22-08 14:36
A 15 year old boy presents to you with a 1 day history of right groin swelling. He has a past history of left testicular torsion. On examination there is a hard tender approximately 2x2 cm mass in his inguinal region below appoximately the inguinal ligament level. His testicles are in place. What is your diagnosis?
A. Femoral hernia
B. Inguinal hernia
C. Enlarged lymph node
D. Infected sabaceous cyst
E. Abcess
laparotomy - 01-22-08 14:36
A 15 year old boy presents to you with a 1 day history of right groin swelling. He has a past history of left testicular torsion. On examination there is a hard tender approximately 2x2 cm mass in his inguinal region below appoximately the inguinal ligament level. His testicles are in place. What is your diagnosis?
A. Femoral hernia
B. Inguinal hernia
C. Enlarged lymph node
D. Infected sabaceous cyst
E. Abcess
Page 1
#5
Re: Surgical case 8401glacieres - 01-24-08 10:34 C-----------A bulge below the inguinal ligament is suggestive of lymph node enlargement.
#7
Re: Surgical case leibovici - 01-24-08 21:26 I agree with the answer "C". If it was a step-3 question, it would ask"What would the next step in management?'
#8
Re: Surgical case leibovici - 01-24-08 21:30 Answer to next step in management is an ultrasound. it is cheap and easy. But, the answer "C" is a possiblity. However, the young boy being 15 years old, I would rule out other possiblities
#9
Re: Surgical case radhamesramos - 01-25-08 11:04 But it is the right answer, because what we are asked is next step
#16
Re: Surgical case radhamesramos - 02-03-08 19:34 Hard or soft! You are all grand ,and make this forum great. Thanks for everything
#17
Re: Surgical case
laparotomy - 02-05-08 12:42 
posted by radhamesramos on 02-03-08 19:34
Hard or soft! You are all grand ,and make this forum great. Thanks for everything
Hard or soft! You are all grand ,and make this forum great. Thanks for everything
Firm to touch but painful (tender)...
#21
Re: Surgical case bingousmle - 06-30-10 11:47 as the swelling is hard and painful with only one day history an enlarged lymph node is the most appropriate choice.. i think the testicular torsion is a distractor here
Page 1