Scrotal Pain Flashcards
1
Q
S and S of cremesteric reflex
A
Good sensitivity in low-risk patients. Not very specific.
2
Q
What is Prehn’s sign?
A
Elevation of testicle improves pain in epidydimitis. However this is neither sensitive nor specific
3
Q
What are common additional symptoms of epidydimitis?
A
Fever and dysuria
4
Q
How sensitive is US for torsion?
A
90%. If you have a strong suspicion but a negative US, get the urologist on board still.
5
Q
What might you see on physical exam of a testicular appendix?
A
A blue • sign
6
Q
What is Fournier’s gangrene?
A
Nec Fas of the perineum.
- Polymicrobial
- Diabetics, PVD, surgical instrumentation are risk factors
