Which feature favors a hydrocele over a solid scrotal mass?

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Multiple Choice

Which feature favors a hydrocele over a solid scrotal mass?

Explanation:
Transillumination is the key clue here. A hydrocele is a fluid-filled sack around the testicle, so when you shine a light through the scrotum, the fluid allows light to pass and the swelling will glow (transillumination). A solid scrotal mass, like a tumor, does not transmit light and remains dark. So the presence of transillumination strongly favors a hydrocele over a solid mass. The part about swelling changing with Valsalva is more typical of a hernia, but the transillumination finding is the decisive feature.

Transillumination is the key clue here. A hydrocele is a fluid-filled sack around the testicle, so when you shine a light through the scrotum, the fluid allows light to pass and the swelling will glow (transillumination). A solid scrotal mass, like a tumor, does not transmit light and remains dark. So the presence of transillumination strongly favors a hydrocele over a solid mass. The part about swelling changing with Valsalva is more typical of a hernia, but the transillumination finding is the decisive feature.

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