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An 18-year-old male presents to the Emergency Department with acute left testicular pain of spontaneous onset.
What are important clinical features to ask about in the history?
Which clinical sign is a feature of torsion?
Testicular torsion is suspected. You have established IV access, taken bloods and given analgesia and antiemetics. What is the next management step?
Short and focused learning
I like the ‘castration by procrastination’ saying. In my experience many urologists / SHOs ask for USS. I will remember this quote for next time. Also interesting that even if the testicle is likely dead due to delayed presentation then an orchidectomy may be indicated to reduce the chance on anti-sperm antibodies and infertility.