Testicular torsion

Question 1

What age does it typically affect?

Answer 1

Teenage

Question 2

What can trigger it ?

Answer 2

Activity

Question 3

What is the presentation

Answer 3

acute onset unilateral testicular pain
Abdo pain (can be only abdo pain)

Question 4

What are examination findings

Answer 4

firm swollen testicle
Elevated testicle
Absent cremasteric reflex
Abnormal testicular lie
Rotation so epididymis is not in normal posterior position

Question 5

What is bell-clapper deformity

Answer 5

Absent fixation of testicle to tunica vaginalis causing testicle to hang in a more horizontal position. Able to rotate and twist

Question 6

What is management?

Answer 6

NBM
Analgesia
Urgent urology assessment t
Surgical exploration of the scrotum
Orchiopexy - correcting position of testicles
Orchidectomy

Question 7

What sign would be seen on USS?

Answer 7

Whirlpool sign

Question 8

When shouldn’t USS be done

Answer 8

IF IT WILL DELAY patient going to the theatre