Q:

A young boy has acute scrotal pain for a few hours. Exam: one testis is very painful to touch. He had this kind of pain before but it was mild and resolved itself within 30mins. What would you do next?

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A young boy has acute scrotal pain for a few hours. Exam: one testis is very painful to touch. He had this kind of pain before but it was mild and resolved itself within 30mins. What would you do next?


  1. Urgent exploration
  2. US
  3. Antibiotics
  4. IV fluids
  5. Doppler US

All Answers

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The key is A. Urgent exploration. [As sudden onset of severe pain likely diagnosis is torsion of testis. (infection takes a more prolonged course). Next step is urgent exploration].

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