testicular torsion Flashcards
1
Q
what
A
twisting of spermatic cord with rotation of testical
risk ischaemia and necrosis –> subfetility or infertility
2
Q
presentation
A
often triggered by activity
sudden onset unilateral testicular pain
abdo pain
vomiting
3
Q
OE
A
firm swollen testicle elevated testicle absent cremasteric reflex abnormal testicular lie rotation
4
Q
bell clapper deformity
A
no fixation between testicle and tunica vaginalis
testicle hangs in horizontal position
risk factor for testicular torsion
5
Q
Mx
A
NMB - prep for surgey analgeisa urology assessment surgical exploratin orchidopexy or orchidectomy
6
Q
Ix
A
scrotal USS - whirlpool sign
however, any Ix that will delay patient going to theatre is not recommended
