A 15yo boy presents with testicular pain for 2days. There is no hx of trauma. Exam: temp=38.5C,
right hemi-scrotum tenderness. What is the single most appropriate management?
a. Give antibiotics
b. Give analgesia
c. Reassure
d. US scrotum
e. Exploratory surgery
answer: D
This is most likely epididymo-orchitis, 2days course of pain points against torsion as necrosis would set in within 24hours
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