Question 1

Mr. King, 72 year-old male, visits the nurse practitioner for scrotal edema that has increased over the past 4 months. He reports feeling increased pain and discomfort in his scrotum. The patient feels like he has a softball in his scrotum, with a heaviness that will not go away. The nurse practitioner knows that:

Hydroceles can result from an imbalance of exogenous or intrinsic fluid production, which develops in between visceral and parietal layers of the tunica vaginalis.

Testicular torsion results from a twisting of the spermatic cord and its contents which lies low in the scrotal sac.

Orchitis is the result of a bacterial infection of the testes which may happen as a result of a sexually transmitted infection or mumps virus.

Epididymitis occurs from a suppurative inflammation which is caused by an enteric or non-enteric organism of the prostatic urethra into the vas deferens.