Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email [email protected].

Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation.

A 10-year-old male presents with a 2-month history of swelling of the left scrotum. The swelling has been increasing in size, but is not associated with pain, trauma, fever or urinary symptoms. On examination, the left hemiscrotum is enlarged, non-tender, smooth and fluctuant. It reduces in size when the patient lies down. The left testicle was palpated and felt to be normal and separated from the swelling. The swelling transilluminates in torchlight.