Testicular Torsion Flashcards
1
Q
Signs/Symptoms
A
Lower abdo pain Swollen, painful testis Nausea Vomiting Increased HR High-rising/horizontal lying testis Thickened spermatic cord (early sign) Negative Prehn's sign (elevating testis does not relieve pain)
2
Q
Differentials
A
Epididymo-orchitis
Hydrocele
Testicular tumour
3
Q
Management
A
Urgent senior review Confirm diagnosis on USS as long as treatment not delayed NBM Analgesia (IV morphine with cyclizine) IV access Fluids
4
Q
Complications
A
Testicular necrosis
Infertility
Colateral torsion if not fixed
