Dependent edema: scrotal swelling

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Pt complains of "enlarged ball sack"; wants to see doctor due to this and pain. Pt is admitted for diverticulitis and small perforation; being treated with antibiotics and NS @ 100 via PIV. When I asked the doctor if he had been in to see the pt, I was asked what the problem is. When I told the dr the pt's complaint, he sarcastically asked me what I thought the problem was from. I responded, "I am not the doctor" to which he responded, "don't you have RN, BSN after your name?" supposedly the enlarged scrotum was due to the IV fluids. My question is, is it possible that ONLY the patient's scrotum swell due to fluid and no other dependent body part, such as hands, ankles, feet? This was not addressed in school; I am a recent grad.

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Specializes in Pediatrics, Emergency, Trauma.

It is possible, think about diverticulitis and then the defects of the type of fluid, as well as your assessment where depended edema could occur in your pt.

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Specializes in Med Surg.
When I asked the doctor if he had been in to see the pt, I was asked what the problem is. When I told the dr the pt's complaint, he sarcastically asked me what I thought the problem was from. I responded, "I am not the doctor" .

A doctor asking you this question is very often a sign of respect, friendship, or collegiality. You gave a very poor response, as it is akin to rejecting this gesture.

Often - and when you are new almost always - the answer is, "I have no idea." As you gain some experience, you will have much more to offer, but stay in the conversation.

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Specializes in Family Nurse Practitioner.

It is possible for only the scrotum to be visibly swollen.

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Specializes in Trauma, Teaching.

After 33 years and couple of degrees, I will often say to a doctor "I think this or that" and get orders based on it. Other times, I say "teach me!", and I get some good new info! Sarcasm from either of you isn't going to help. Simply say "I'm not sure, so I'm asking".

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Is this patient a family member?

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Is this patient a family member?

Ding-ding-ding! We have a winnah!

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