Presentation The patient may be distraught with severe genital pain, with subsequent outbreak of painful vesicles on the external genitalia that may ulcerate or erode. Alternatively, the patient may just be concerned about paresthesias and subtle genital lesions, may want…
Presentation A male child, adolescent, or adult complains of dull to moderately severe unilateral scrotal pain developing gradually over a period of hours to days and possibly radiating to the ipsilateral lower abdomen or flank. In adult or adolescent males,…
Presentation Patients may complain of or be frightened about the color of their urine. Color may be one component of some urinary complaint, or the color may be noted incidentally on urinalysis. You’re Reading a Preview Become a Clinical Tree…
Presentation Blunt injuries to the scrotum usually occur in patients who are younger than 50 years of age as a result of an athletic injury; a straddle injury; an automobile, motorcycle, or industrial accident; or an assault. Patients present with…
Presentation The patient typically seeks medical care 1 to 6 hours after eating because of severe nausea, vomiting, retching, and abdominal cramps that may progress later into diarrhea. Patients may present with a wide range of findings. Signs and symptoms…
Presentation Recurring, unpredictable, clonic contractions of the diaphragm that produce sharp inhalations are known as singultus or more commonly as hiccups. Hiccups are usually precipitated by some combination of laughing, talking, eating, and drinking but may also occur spontaneously. Most…
Presentation Patients with external hemorrhoids ( Fig. 74.1 ) generally complain of a painful anal lump of sudden onset, which may become intense in severity. This type of pain, in most instances, represents a thrombosed hemorrhoid, which will appear to…
Presentation Parents bring in a young child (usually between the ages of 6 months and 6 years) shortly after the child has swallowed a coin, safety pin, or toy. The child may be asymptomatic or have recurrent or transient symptoms…
Presentation Rectal foreign bodies may present with abdominal pain, anorectal pain, obstipation, acute urinary retention, or blood or mucous discharge from the rectum. Such foreign bodies are often difficult to diagnose because the history may not be offered by the…
Presentation The patient develops symptoms either immediately after swallowing a large mouthful of food (usually inadequately chewed meat) or as the result of intoxication, wearing dentures, or being too embarrassed to spit out a large piece of gristle. The patient…