Scrotal swelling (220/1700)

A footballer has been struck in the groin by a kick and a presents with severe pain and mild
swelling in the scrotum. What is the most appropriate next step?

a. USG
b. Doppler
c. Exploratory surgery
d. IV fluids
e. Antibiotics




























answer: C
Torsion of testis : acute onset severe pain, history of trauma or crypto-testes....necrosis in 5hours, needs rapid surgery......doppler US is diagnostic but would waste precious time.....straight to the OR

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