Authors: Jude Okoye/ Editor: Steve Corry-Bass, Sandi Angus / Codes: SLO1, SLO5, UP4/ Published: 26/05/2022
A 14-year-old boy is brought to the ED by his parents at 2am complaining of a pain “down below”.
The pain started suddenly – around midnight, his parents had given him some paracetamol, but he vomited after taking it. He thinks he remembers crashing into an opponent during a football game two days ago. He had been ok until last night. He denied any history of sexual activity or penile discharge.
He is comfortable but tender on examination.
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Question 1 of 3
1. Question
Which of the following is the most likely cause of acute scrotal pain in this patient?
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Question 2 of 3
2. Question
When you examine the patient, you find a tender, erythematous testis with a sluggish cremasteric reflex and a negative Prehn’s sign. What is the preferred management?
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Question 3 of 3
3. Question
You tried to give him some analgesia but he promptly vomited. What will be your most important next step?V
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