clinical: scrotum, thyroid, procedures

thyroglobulin and thyroglobulin antibody

• these levels are monitored in post-surgical pts with a bilateral thyroidectomy after a cancer dx

• increased levels of both in a post-surgical pt can indicate recurrence

Prehn sign

• used to differentiate epididymo-orchitis from torsion

• lifting the painful scrotum above the level of the symphysis pubis will relieve pain when infection is the cause for symptoms

medullary thyroid cancer

• hard bulky mass usually found in the 5th or 6th decades of life

• mass secretes calcitonin

• associated with MEN syndrome and Sipple syndrome (medullary cancer+parathyroid cancer+pheochromocytoma)

which lymph node chain should be evaluated for related metastasis with thyroid cancer?

supraclavicular

what is the preferred puncture site for a paracentesis?

in a location lateral to the rectus abdominis muscle in the left lower abdomen