Q:

A young man presents with sudden, severe pain and swelling in the scrotum. Exam: one testis seems higher than the other. What is the most probable diagnosis?

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A young man presents with sudden, severe pain and swelling in the scrotum. Exam: one testis seems higher than the other. What is the most probable diagnosis?


  1. Varicocele
  2. Hematocele
  3. Testicular tumor
  4. Epidiymo-orchitis
  5. Testicular torsion

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The key is E. Testicular torsion. [Sudden severe pain, scrotal swelling and higher position of the affected testis is diagnostic of testicular torsion. You may get further support from examining cremesteric reflex which is absent in testicular torsion].

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