Instructions
You are a medical student on placement in general practice. Your next patient is Callum Strachan, 29, back for the results of a scrotal ultrasound and blood tests organised last week for a lump in his right testicle. The reports are below.
Take a focused history
Explain the results and your management plan to the patient
- You do not need to examine the patient
- You do not need to summarise your findings to the examiner
- You do not need to write any letters or forms
Scrotal ultrasound report
| Item | Value | Reference range |
|---|---|---|
| Right testis | 25 x 21 x 18 mm well-defined, solid, homogeneous hypoechoic mass within the testis, with internal blood flow on colour Doppler. The rest of the testis is normal. | - |
| Left testis | Normal size and echotexture; no focal lesion | - |
| Epididymes | Normal on both sides | - |
| Other | No hydrocele, varicocele or microlithiasis | - |
Blood tests (taken with the ultrasound)
| Item | Value | Reference range |
|---|---|---|
| Alpha-fetoprotein (AFP) | 4 kU/L | <10 kU/L |
| Beta-hCG | 18 IU/L | <5 IU/L |
| LDH | 310 U/L | 120-250 U/L |