A 19-year-old man presents with a 1-day history of severe testicular pain, nausea, and vomiting. The pain started suddenly. On examination, the left t...

Question

A 19-year-old man presents with a 1-day history of severe testicular pain, nausea, and vomiting. The pain started suddenly. On examination, the left testis is high-riding, swollen, exquisitely tender, and the cremasteric reflex is absent on that side. What is the most appropriate immediate management?

Accepted Answer

Refer for urgent surgical exploration

Answer

Arrange urgent testicular ultrasound Doppler

Answer

Administer intravenous antibiotics

Answer

Prescribe oral analgesia and advise scrotal support

Answer

Perform manual detorsion in ED

ukmla MCQ (SBA): Testicular Torsion