Question

A 22-year-old man presents with acute scrotal pain for 4 hours, high-riding testis, absent cremasteric reflex. What is the best next step?

Accepted Answer

Urgent surgical exploration without delaying for imaging

Answer

Immediate scrotal ultrasound with Doppler then refer if abnormal

Answer

Analgesia and arrange urology review within 24 hours

Answer

Empirical antibiotics for epididymo-orchitis

Answer

Urinalysis and send MSU, discharge if negative

Practice question

A 22-year-old man presents with acute scrotal pain for 4 hours, high-riding testis, absent cremasteric reflex. What is the best next step?