Testicular Torsion Flashcards
1
Q
what is testicular torsion?
A
cord rotates around arterial supply causing ischaemia and cell death
2
Q
types of torsion?
A
intravaginal
extravaginal
3
Q
presentation of testicular torsion
A
bell clapper deformity extreme pain that can refer to lower abdomen with N&V hot tender erythema swollen
4
Q
what is the bell clapper deformity
A
fixation between tunica vaginalis and testicle is absent causing the testicle to lie horizontally
5
Q
diagnosis of testicular torsion
A
testes high in scrotum
absence of cremasteric reflex
doppler USS
6
Q
management of testicular torsion
A
prompt exploration (<6 hours) if necrotic remove
7
Q
presentation of torsion of appendage/ hyatid of Morgagni
A
tenderness at upper pole
blue dot sign
cremasteric reflex present
8
Q
management of torsion of appendage/ hyatid of Morgagni
A
often resolve spontaneously
