[10] Testicular Torsion Flashcards Preview

A - MSRA Renal and Urinary [17] > [10] Testicular Torsion > Flashcards

Flashcards in [10] Testicular Torsion Deck (21)
Loading flashcards...
1
Q

What does testicular torsion usually occur secondary to?

A

Some exertion or minor trauma

2
Q

When does testicular torsion usually present?

A

10-25 years

3
Q

What are the symptoms of testicular torsion?

A

Sudden onset severe pain in one testis

May also have lower abdominal pain, and associated nausea and vomiting

4
Q

Why might there be associated lower abdominal pain in testicular torsion?

A

Because the testis are supplied by T10

5
Q

What may be present in the history in testicular torsion?

A

Previous testicular pain or torsion

6
Q

What may be found on examination in testicular torsion?

A

Inflammation of one testis - hot, swollen, extremely tender

Testis rides high and lies transversely

7
Q

What are the differential diagnoses for testicular torsion?

A
Epididymo-orchitis 
Torted hydatid of Morgagni
Tumour
Trauma
Strangulated hernia
Appendicitis
8
Q

How can epididymo-orchitis be differentiated from testicular torsion?

A

Occurs in older patient
UTI symptoms
More gradual onset

9
Q

What is the Hydatis of Morgagni?

A

The remnant of Mullerian duct

10
Q

How can torted Hydatid of Morgagni be differentiated from testicular torsion?

A

Young patient
Less pain
Tiny blue dot visible on scrotum

11
Q

What investigations may be done in testicular torsion?

A

Doppler US

12
Q

What may be demonstrates on doppler US in testicular torsion?

A

Absence of flow

13
Q

What should be considered when deciding on investigations in testicular torsions?

A

Investigations must not delay surgical exploration

14
Q

How long from onset is there to salvage testis?

A

4-6 hours

15
Q

How should testicular torsion be immediately managed?

A

Inform senior
NBM
IV access
Surgery

16
Q

Why is IV access required in testicular torsion?

A

To take bloods and give analgesia

17
Q

What bloods should be taken in testicular torsion?

A

FBC
U&E
G&S
Clotting

18
Q

What should a patient be consented for when going to surgery for testicular torsion?

A

Possible orchidectomy

19
Q

What procedure is done in testicular torsion?

A

Bilateral orchidopexy

20
Q

What happens in a orchidopexy?

A

The testes are sutured to scrotum

21
Q

What is done if a patient with suspected testicular torsion goes to theatre and no torsion is found, but epididymo-orchitis is discovered?

A

Take fluid sample from scrotum for bacteriology and manage with antibiotics