Question

A 15-year-old boy presents with acute scrotal pain and swelling. The testis is high-riding and tender with absent cremasteric reflex. What is the most appropriate management?

Accepted Answer

Immediate surgical exploration

Answer

Scrotal ultrasound and observation in ED

Answer

Empirical antibiotics and review in 48 hours

Answer

Bed rest and NSAIDs only

Answer

Manual detorsion in general practice and discharge

Practice question

A 15-year-old boy presents with acute scrotal pain and swelling. The testis is high-riding and tender with absent cremasteric reflex. What is the most appropriate management?