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Surgery MCQ Bank Forum Hot - Unanswered
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Quick Scroll 12.04.07 (7 months ago) #31

A ranula is a type of mucocele found on the floor of the mouth. Ranulas present as a swelling of connective tissue consisting of collected mucin from a ruptured salivary gland duct, which is usually caused by local trauma.

The gland that most likely causes a ranula is the sublingual gland. Nonetheless, the submandibular gland and minor salivary glands may be involved.

thts abt ranula

now mucocele------------
A mucocele, also referred to as mucus extravasation phenomenon, is a swelling of connective tissue consisting of collected mucin from a ruptured salivary gland duct, which is usually caused by local trauma. The mucocele is a bluish translucent color, and is more commonly found in children and young adults.

The most common location to find a mucocele is the surface of the lower lip. It can also be found on the inner side of the cheek (known as the buccal mucosa), on the anterior ventral tongue, and the floor of the mouth. When found on the floor of the mouth, the mucocele is referred to as a ranula. They are rarely found on the upper lip.
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Quick Scroll 12.04.07 (7 months ago) #32

idiopathic varicocele
occurs when the valves within the veins along the spermatic cord don't work properly. This is essentially the same process as varicose veins, which are common in the legs. This results in backflow of blood into the pampiniform plexus and causes increased pressures, ultimately leading to damage to the testicular tissue
Varicoceles usually develop slowly and may not have any symptoms. There are most frequently diagnosed when a patient is 15-25 years of age, and rarely develop after the age of 40. They occur in 15-20% of all males, and in 40% of infertile males

secondary varicocele
is due to compression of the venous drainage of the testicle. A pelvic or abdominal malignancy is a definite concern when a varicocele is newly diagnosed in a patient older than 40 years of age. One non-malignant cause of a secondary varicocele is the so-called "nut-cracker SMA" (superior mesenteric artery), a condition in which the superior mesenteric artery compresses the left renal vein, causing increased pressures there to be transmitted retrograde into the left pampiniform plexus.[1

If surgery is required because of infertility or testicular atrophy, the outlook is usually excellent. Removal of varicocele can lead to normal testicular temperatures and an increased sperm production.

so its very common cause and very good prognosis .
so must b most common surgi. treatable cause
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Quick Scroll 12.17.07 (6 months ago) #33

Ranula is a mucous extravasation cyst which appears as a swelling in the submental and submandibular regions. Several surgical techniques to manage ranula have been described in the literature, these techniques include the CO2 laser radiation excision. Four patients were treated for intraoral ranula in the floor of the mouth by marsupialization with carbon dioxide laser radiation with defocused beam, continuous mode and 4 watts of power. There were no complications and no recurrences have occurred to date. The results showed that carbon dioxide laser radiation gives optimal results with no need for suture and good wound healing.

taken from a site .

and again i am not supposed to post the link
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Quick Scroll 12.17.07 (6 months ago) #34

Its varicocele for sure.
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Quick Scroll 12.18.07 (6 months ago) #35

depression is the answr. its associated with ocd more thn the othrs.[/quote]
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Quick Scroll 12.20.07 (6 months ago) #36

RETENTION CYST OF SUBLINGUAL GLAND
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