Transillumination

This may be useful in distinguishing between a swelling composed of solid tissue and one consisting of transparent or semi transparent liquid. For example, the sign may help to distinguish a hydrocele from other scrotal swellings (p. 172). It requires to be borne in mind that a testicular tumour may lie within a hydrocele.

KEY POINTS

• A swelling which Is suddenly found may not have recently developed.

• The shape and size of any swelling should be defined and measured

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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