A 23-year-old man presents with acute unilateral testicular pain and swelling for 3 hours. The testis is high-riding and tender; cremasteric reflex is...

Question

A 23-year-old man presents with acute unilateral testicular pain and swelling for 3 hours. The testis is high-riding and tender; cremasteric reflex is absent. Urinalysis is normal. What is the most appropriate next step?

Accepted Answer

Immediate urology consultation for surgical exploration

Answer

Empirical oral antibiotics for epididymitis

Answer

Urgent colour Doppler ultrasound but only if available within 24 hours

Answer

Non-steroidal anti-inflammatory drugs and scrotal support

Answer

CT scan of abdomen and pelvis to exclude renal colic

ca-mccqe1 MCQ (SBA): Testicular torsion

A 23-year-old man presents with acute unilateral testicular pain and swelling for 3 hours. The testis is high-riding and tender; cremasteric reflex is absent. Urinalysis is normal. What is the most appropriate next step?