A 25-year-old man presents with right testicular pain and swelling over 12 hours. The testis is high-riding with absent cremasteric reflex. Doppler ul...

Question

A 25-year-old man presents with right testicular pain and swelling over 12 hours. The testis is high-riding with absent cremasteric reflex. Doppler ultrasound is not immediately available. What is the most appropriate management?

Accepted Answer

Urgent urology consultation for immediate surgical exploration

Answer

Treat with antibiotics for epididymitis and review in 48 hours

Answer

Order outpatient ultrasound and manage expectantly

Answer

Provide analgesia and observe in the emergency department

Answer

Reassure him that the pain will likely resolve

ca-mccqe1 MCQ (SBA): Testicular torsion

A 25-year-old man presents with right testicular pain and swelling over 12 hours. The testis is high-riding with absent cremasteric reflex. Doppler ultrasound is not immediately available. What is the most appropriate management?