Q:

A 17 year old boy while playing football got a kick and now he is complaining of severe pain and swelling of the left side of his scrotum. What investigation is the most appropriate to diagnose?

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A 17 year old boy while playing football got a kick and now he is complaining of severe pain and swelling of the left side of his scrotum. What investigation is the most appropriate to diagnose?


  1. Needle aspiration of scrotum
  2. US scrotum
  3. MSU
  4. Surgical exploration of scrotum
  5. Urine test for hematuria

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The key is D. Surgcal exploration of scrotum. [This is a case of testicular torsion which needs urgent diagnostic and therapeutic surgical exploration of the scrotum].

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