Q:

A child was woken up from sleep with severe pain in the testis. Exam: tenderness on palpation and only one testis was normal in size and position. What would be your next step?

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A child was woken up from sleep with severe pain in the testis. Exam: tenderness on palpation and only one testis was normal in size and position. What would be your next step?


  1. Analgesia
  2. Antibiotics
  3. Refer urgently to a surgeon
  4. Reassurance
  5. Discharge with analgesics

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The key is C. Refer urgently to a surgeon. [Probable torsion of testis. Urgent referral to a surgeon is indicated].

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