Q:

A 24 year old male presents with discomfort in the groin area and scrotal swelling. Exam: scrotal skin is normal. What would be the next best step?

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A 24 year old male presents with discomfort in the groin area and scrotal swelling. Exam: scrotal skin is normal. What would be the next best step?


  1. Urgent US
  2. Urgent surgery
  3. OPD referral
  4. Antibiotics

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The key is C. OPD referral. [A case of inguinal hernia or hydrocele. In both torsion or epididymo- orchitis scrotal skin will be inflammed (erythematous and oedematous). As the skin is not inflamed the patient should be referred to Surgery OPD].

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