Scrotal Swellings & Testicular Tumours

Scrotal swellings are a bread-and-butter clinical examination topic and a recurring NEET PG favourite. The single most important first step is to decide whether you can get above the swelling (intra-scrotal) or cannot get above it (inguino-scrotal). This one question separates a hydrocele/epididymal cyst/tumour from an inguinal hernia or a congenital hydrocele. The examiner's mantra: examine the lump, the cord, an…