A 17-year-old boy presents with sudden onset severe left testicular pain and vomiting for 3 hours. The left testis is high-riding and very tender with...

Question

A 17-year-old boy presents with sudden onset severe left testicular pain and vomiting for 3 hours. The left testis is high-riding and very tender with an absent cremasteric reflex. What is the most appropriate management?

Accepted Answer

Urgent urology referral for immediate surgical exploration

Answer

Arrange urgent scrotal ultrasound with Doppler before any intervention

Answer

Give oral analgesia and review in 24 hours

Answer

Start oral antibiotics for epididymo-orchitis

Answer

Reassure and discharge with safety-netting

uk-plab-1 MCQ (SBA): Testicular torsion

A 17-year-old boy presents with sudden onset severe left testicular pain and vomiting for 3 hours. The left testis is high-riding and very tender with an absent cremasteric reflex. What is the most appropriate management?