A 14-year-old boy presents with sudden onset severe unilateral testicular pain and nausea. The testis is high-riding and tender, with absent cremaster...

Question

A 14-year-old boy presents with sudden onset severe unilateral testicular pain and nausea. The testis is high-riding and tender, with absent cremasteric reflex. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration for suspected testicular torsion

Answer

Scrotal ultrasound only and await the report before referring

Answer

Reassure and review in 24 hours

Answer

Start antibiotics for presumed epididymo-orchitis and observe

Answer

Apply ice packs and arrange outpatient review

au-acem MCQ (SBA): Testicular torsion

A 14-year-old boy presents with sudden onset severe unilateral testicular pain and nausea. The testis is high-riding and tender, with absent cremasteric reflex. What is the most appropriate management?