Genitourinary Jr
Genitourinary Jr
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16 yo male who presents with left testicular pain. Exam with horizontal left testicle. POCUS shows blood flow to both testicles, however left distal spermatic cord demonstrates whirlpool sign, consistent with intermittent/partial torsion.
Dr. Paul Khalil and Dr. Joshua Kim - University of Louisville
Normal testicle buddy view with color. The buddy view is the best place to start when doing as testicular ultrasound to compare the echogenicity, size, blood flow and position of the testicles.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Normal spermatic cord. Flow should be linear as apposed to the "corkscrew" sign in torsion.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
2 yo male present with testicle pain and swelling. POCUS shows torsion of the appendix of the testicle. Please note hyperechoic appendage of testicle.
Contributor: Paul Khalil, MD, Nicklaus Children's Hospital, @khalil3paul
13 yo male presents with intermittent testicular pain. There was some flow to testicle, but when examining spermatic cord flow was twisted (corkscrew sign) indicating partial torsion.
Contributor: Paul Khalil, MD and Joshua Kim, DO
2 yo male with testicular torsion presenting at 48 hrs. Note the twisted spermatic cord, change of echogenicity of testicle and reactive hydrocele.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Normal Anatomy
Normal testicle buddy view with color. The buddy view is the best place to start when doing as testicular ultrasound to compare the echogenicity, size, blood flow and position of the testicles.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Normal spermatic cord. Flow should be linear as apposed to the "corkscrew" sign in torsion.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Normal adolescent uterus.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Male GU Pathology
16 yo male who presents with left testicular pain. Exam with horizontal left testicle. POCUS shows blood flow to both testicles, however left distal spermatic cord demonstrates whirlpool sign, consistent with intermittent/partial torsion.
Dr. Paul Khalil and Dr. Joshua Kim - University of Louisville
2 yo male present with testicle pain and swelling. POCUS shows torsion of the appendix of the testicle. Please note hyperechoic appendage of testicle.
Contributor: Paul Khalil, MD, Nicklaus Children's Hospital, @khalil3paul
13 yo male presents with intermittent testicular pain. There was some flow to testicle, but when examining spermatic cord flow was twisted (corkscrew sign) indicating partial torsion.
Contributor: Paul Khalil, MD and Joshua Kim, DO
Female GU Pathology
16 year old female with abdominal/pelvic pain. POCUS demonstrated bilateral ovarian teratomas. Shown here is a transverse pelvic view at the level of the uterine fundus focused in the L adnexa. A large complex mass with mixed hypoechoic and hyperechoic content is seen in the L adnexa, and a second similar-appearing mass can be partially seen in the R adnexa.
Contributor: Matthew Moake, MD PhD
14 year old female presenting with acute on chronic abdominal pain. Physical exam revealed gross abdominal distension in the pelvic region. She denied hematuria, dysuria, or sensation of incomplete voiding. No menarche reported.
In this clip, the patient's bladder is difficult to visualize due to the mass effect of the enlarged, blood-filled vagina. The uterus contains blood as well, but to a much lesser degree than the vagina.
Contributor: Jaron Smith, MD Phoenix Children's Hospital
Renal & Bladder Pathology
Incidental finding of a Wilm's tumor in 3 yo female presenting to the PED with fever and lower abdominal pain. Educational scan that turned out to significantly alter management. Pt had right nephrectomy of localized tumor. Case Series 2 of 2
Contributor: Melinda Tonelli MD, University of Rochester, Rochester NY
Incidental finding of a Wilm's tumor in 3 yo female presenting to the PED with fever and lower abdominal pain. Educational scan that turned out to significantly alter management. Pt had right nephrectomy of localized tumor. Case Series 1 of 2
Contributor: Melinda Tonelli MD, University of Rochester, Rochester NY
11 year old male presenting for left flank pain and headache. POCUS with severe left sided hydronephrosis without stone.
Contributor: Matthew Moake, MD PhD