Can the examiner’s

fingers meet above

the swelling?

Cannot 
Can  purely
Inguinoscrotal
scrotal swelling
swelling

Oblique What is the

Varicocele consistency of the
inguinal hernia swelling?

Expansile impulse
Bag of worms Cystic swelling Solid swelling
on cough

The testis is
Confined to the
Usually reducible Compressible Impalpable separated from the Includes the testis
epididymis
swelling

Encysted
Reduction may be Vaginal hydrocele of Hydrocele of a Testicular Chronic
Disappears on lying
accompanied by a
down Epididymal cyst
gurgling sound varicocele the spermatic hernia sac cancer epididymitis
cord

Downward traction
Cannot be moved Traction of the sac Old clotted
Palpable thrill on Confirmed by on the testis limits
separate from the does not affect
cough transillumination mobility of the hematocele
testis mobility
swelling