Q:

A 6 year old boy presented about 4 hour ago with acute severe pain on the testis with the left half slightly higher than the right. Pain was not relieved by any strong analgesic. What is the initial management?

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A 6 year old boy presented about 4 hour ago with acute severe pain on the testis with the left half slightly higher than the right. Pain was not relieved by any strong analgesic. What is the initial management?


  1. Give strong analgesic
  2. IV NS and monitor vital signs
  3. Reassure
  4. Immediate surgical referral
  5. Cover with antibiotics

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The key is D. Immediate surgical referral. [Diagnosis is torsion of testis].

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