The mnemonic
Fluid lights up, solid does not
What each word stands for
- FluidHydrocele and epididymal cyst transilluminate
- SolidTesticular tumour does not transilluminate
- BloodHaematocele does not transilluminate
- BowelHernia does not transilluminate (adult)
Why it matters clinically
A swelling that does not transilluminate needs ultrasound to exclude a tumour.
Where it stops being reliable
Infant hernias and hydroceles can transilluminate, so ultrasound is still needed.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.