Surgical Teaching Video Cast Introduction

PROBLEM ORIENTED CASE BASED LEARNING

Dr.B.Selvaraj MS;Mch;FICSProfessor of Surgery

Melaka Manipal Medical collegeMelaka Malaysia 75150

Must to know core clinical problems

1.Acute RLQ pain2.Acute RUQ pain3.Acute epigastric pain4.Acute LLQ pain5.Dysphagia6.Abdominal lumps7.Upper GI haemorrhage8.Lower GI haemorrhage9.Obstructive Jaundice

10.Breast lumps, mastalgia & nipple discharge 11.Neck swellings- Thyroid & non thyroidal12.Groin swellings13.Scrotal swellings14.Limb ischemia- Acute & Chronic15.Varicose veins16.Renal & ureteric colic17.Hematuria18.Acute retention of urine

Scheme for Problem oriented Case based Teaching

Scrotal Swellings

TesticularCarcinom

aVaricocele HydroceleTesticular

TorsionEpididymal Cyst

Scrotal Swellings- Introduction

• Various causes( Differential diagnosis) of scrotal swellings• Applied Anatomy & Physiology• Algorithm to clinch the correct diagnosis• Unique teaching video cast consisting powerful teaching tools Classical clinical vignette with probable diagnosis The diagnosis in detail- only one pathology in each episode Mind map of the diagnosis Tabular column of differential diagnosis depicting their

characteristic features to differentiate them from your diagnosis

Causes of Scrotal Swellings ACUTE PAINFUL

• Torsion testis• Acute epididymo-orchitis• Torsion of testicular

appendages

CHRONIC PAINLESS

• Hydrocele• Epididymal cyst• Spermatocele• Chronic epididymo-

orchitis• Testicular tumor• Varicocele

Causes of Scrotal Swellings

Scrotal contents

• Purse like arrangement for lodgement of Testis on either sides with a midline septum separating.• Contents are: Testis, Epididymis, Vas Deferens, Testicular

artery, Pampiniform plexus of veins, Artery to the Vas, Lymphatics, Areolar tissue, & coverings.• Coverings of Testis: Skin, Dartos, External Spermatic fascia,

Cremasteric fascia, Internal Spermatic fascia, Tunica Vaginalis Testis – 2 layers

Scrotum- Anatomy

Testis - Anatomy

Scrotal Swellings- Algorithm

Thank YouTo watch the video version go

to Channel“ Surgical Educator” in You

Tubehttps://www.youtube.com/watch?v=UAn0pL8qUvs