A 17 y.o. male presents saying, “I have a lump in my testicle!” He…

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Question A 17 y.o. male presents saying, “I have a lump in my testicle!” He… A 17 y.o. male presents saying, “I have a lump in my testicle!” He noticed a mass while showering the previous night, and his mother called to have him seen today. He denies any associated pain but says it feels as if he has “grown a third testicle.” He has heard that teens are at heightened risk for testicular cancer and seems concerned for that. He is athletic and is in the midst of the soccer season but does not recall an injury in play or practice nor in other activities. He says he does not know how long it has been present, although he thinks he would have felt it by now if it had been this large for long. Past Medical/Surgical HistoryAsthma, uses a long-acting beta agonist and corticosteroid combination inhaler; does well on this regimen, not experiencing increased symptomsMild acneNo surgeries Review of SymptomsNot obtained yet Current MedsLong-acting beta agonist and corticosteroid inhalerTopical benzoyl peroxidePhysical ExaminationVital signs: T 98, BP 98/68, HR 64, HT 70, WT 150 lbs.General: Slender, well-developed young male who appears slightly anxious as he describes his complaint but otherwise in no distress.Genitalia: Exam of his scrotum-skin is moderate pink, dry, and intact. Noticeable area of enlargement on the left. Right testicle is freely mobile, smooth, and rubbery; ovoid in shape and epididymis is palpable. On the left, testicle is isolated from the mass and is mobile with consistency similar to the right, although there is a mass just proximal to the testicle that is approximately 3 cm in diameter, well-defined with smooth surface and cystic (nonsolid) consistency. Mild discomfort voiced with the exam. No visible lesions identified. No palpable inguinal nodes. Case Study Discussion – Part I:Answer the following and post your response in the Case Study Part I by creating your own initial thread.Identify a minimum of three conditions that you would consider in your differential diagnosis, with the most likely condition listed first.  Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)

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