2 yr m baby presented with c/c of multiple episode of vomit from 1day no h/o of loose stool temp-99 Acc to parents baby is having swelling over scrotum by birth dd? Tt?

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Scrotal swelling with multiple episodes of vomitings. Could be Congenital hernia/Hydrocele. Try to see if it's possible to get above the swelling, check transillumination and Ultrasound scrotum to differentiate. Inguinal canals don't look fuller in picture. So most probably Hydrocele. The vomitings episodes could be associated with infected Hydrocele or testicular tortion secondary to Hydrocele or it could be incarcerated hernia/obstructed hernia or just viral or food borne infection...! History, examination and ULTRASOUND could give you a fair idea. Good luck.

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IT'S A CASE OF.. SCROTAL SWELLING...? HYDROCELE.. ADVICE.. USG STUDY SCROTUM..

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Most likely a case of hydrocele To be differentiated from congenital hernia . On examination transillumination and getting above the swelling is in favour of hydrocele. If you cannot get above the swelling it is hernia . Another D/D is torsion of testes.considering persistent vomitings. An ultrasound scan of testis will be diagnostic

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Dx,,It's a case of Scrotal swelling,,,most probably Hydrocele,,may be hernia also,,,Adv-1.USG Scrotal2.USG Abdomen.,,Refred to the Surgeon.

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Scrotal swelling Encysted hydrocele Conform with USG Syp emset Syp macfast 250gm Syp opox 50mg

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Scrotal swelling ? Hydrocele May be there is torsion of testes USG of scroum & abdomen See get above the swelling & trasillumination test. IV fluid Antibiotic Antiemetic Refer to Surgeon

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Congenital hydrocele Also look for upper border is reachable or not so as to r/o inguinal hernia Also look for transillumination test to confirm or go for usg scrotum

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? hydrocele clinicaly examin ? transillumination and 2Checking for tenderness in an enlarged scrotum. 3Applying pressure to the abdomen and scrotum to check for inguinal hernia.

Cong Hydrocoele Associated feature is multiple vomiting so rule out hernia. Transillumination and Ultrasoud of scrotum to be done

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