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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

HEMORRHAGIC SHOCK THE THOR WAY

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jueves, 18 de febrero de 2016

Testicular Torsion

“No discriminating features in either history of examination conclusively differentiate the correct diagnosis”(Sidler 1997)
Take Home Points
  • Consider the diagnosis of testicular torsion in all patients with acute testicular pain
  • Testicular torsion is a surgical emergency that requires immediate urologic consultation to increase the rate of tissue salvage.
  • History, physical examination and ultrasound are all flawed in making the diagnosis. The gold standard is surgical exploration
  • Consider manual detorsion in patients where consultation will be delayed