A 3-year-old boy presents with a painful, swollen scrotum of sudden onset. He is distressed and vomiting. Examination shows a high-riding, tender righ...

Question

A 3-year-old boy presents with a painful, swollen scrotum of sudden onset. He is distressed and vomiting. Examination shows a high-riding, tender right testis with absent cremasteric reflex. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration for suspected testicular torsion

Answer

Reassure and review in 24 hours

Answer

Order an ultrasound and wait for the report before acting

Answer

Commence oral antibiotics for epididymo-orchitis

Answer

Apply ice packs and provide analgesia only

au-amc MCQ (SBA): Testicular torsion

A 3-year-old boy presents with a painful, swollen scrotum of sudden onset. He is distressed and vomiting. Examination shows a high-riding, tender right testis with absent cremasteric reflex. What is the most appropriate management?