Testicular torsion Flashcards
1
Q
Testicular torsion vs epididymitis
A
Lifting testes relieves pain = epidiymitis - Prehn’s sign
Lifting increases pain = torsion
2
Q
What else must you examine in a boy with abdominal pain
A
Testes
3
Q
What reflex is absent in testicular torsion
A
Cremasteric reflex
4
Q
If cremasteric reflex is present
A
Twisted hydatid of morgagni
5
Q
Investigations for testicular torsion
A
UTI urine dip
Surgical exploration
6
Q
Management
A
Bilateral orchidopexy (aka contralateral testis must also be fixed to the posterior wall due to risk of twisting)
7
Q
Testicular pain over days, plus cremasteric reflex present
A
Twisted hydratid of morgagni
