A 30-year-old man presents with sudden onset severe testicular pain after lifting a heavy object. The right testis is high riding with an abnormal tra...

Question

A 30-year-old man presents with sudden onset severe testicular pain after lifting a heavy object. The right testis is high riding with an abnormal transverse lie and absent cremasteric reflex. What is the most appropriate next step in management?

Accepted Answer

Immediate surgical exploration

Answer

Order scrotal Doppler ultrasound and await results before any intervention

Answer

Start antibiotics for presumed epididymitis

Answer

Prescribe analgesics and observe

Answer

Order CT scan of abdomen and pelvis

us-abem MCQ (SBA): Testicular torsion

A 30-year-old man presents with sudden onset severe testicular pain after lifting a heavy object. The right testis is high riding with an abnormal transverse lie and absent cremasteric reflex. What is the most appropriate next step in management?