A 14-year-old boy presents to ED with sudden onset testicular pain and swelling for 3 hours. The testis is high-riding and tender, and the cremasteric...

Question

A 14-year-old boy presents to ED with sudden onset testicular pain and swelling for 3 hours. The testis is high-riding and tender, and the cremasteric reflex is absent. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration of the scrotum

Answer

Reassure and discharge with analgesia

Answer

Arrange urgent scrotal ultrasound and delay theatre until results

Answer

Treat empirically with antibiotics for epididymitis

Answer

Observe for 12 hours to see if pain settles

au-amc MCQ (SBA): Testicular torsion

A 14-year-old boy presents to ED with sudden onset testicular pain and swelling for 3 hours. The testis is high-riding and tender, and the cremasteric reflex is absent. What is the most appropriate management?