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 -1  visit this page (nbme22#11)
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The question asks about a nerve that is on the EXTERNAL surface of the espermatic cord at the level of superficial ring, that is the ilioinguinal nerve, because the genital branch of the genitofemoral nerve goes inside.

The trick is that the genitofemoral is responsible of invervating the anterior surface of the escrotum, but the genital branch of the inguinal nerve that goes external is responsible of the superior anterior surface of the scrotum

Here you can see both nerves outside and inside the spermatic cord https://image.slidesharecdn.com/herniasdepared-170305224216/95/hernias-de-pared-10-638.jpg?cb=1488753771 and here you can see the inervation from both nerves https://medicalfoster.com/wp-content/uploads/2017/01/attelu-rezultati-vaicajumam-genitofemoral-nerve.jpeg

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kcyanide101  I got this off UWORLD: Ilioinguinal nerve is injured during hernia surgery. Pain to the base of the penis, anterior scrotum and labia Obturator usually injury during bladder surgery. Loss of addiction and pain to medial thigh. Genito femoral supplies similar areas as the ilio inguinal, you distingish it from the ilioinguinal ue to the loss of the cremasteric reflex. +

 +1  visit this page (nbme22#16)
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Hints. His age + Multilple blastic lesion pointing out at metastasis. Negative protein electrophoresis ruled out Multiple myeloma

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drjungly  All primary bone cancer - mc seen in age b/t 20-40 peak at 25. Prostate adenocarcinoma - mc seen age >50 yr old. Source-FA 2018 +3
asharm10  Sometimes instead of osteoblastic they say osteosclerotic that's synonym of Osteoblastic. For multiple myeloma it's always osteolytic. +3




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