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Testicular Torsion (Deep Dive MW R19)

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Manage episode 412786969 series 1279218
Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
* Common during the first year of life as well as during puberty
* Presents with nausea/vomiting, abdominal pain, and/or testicular pain
* ALWAYS examine a child for signs of torsion who presents with abdominal pain (especially lower abdominal pain)
* Look for tenderness, firmness, high riding testicle or testicle with unequal lie, swelling, and the absence of a cremasteric reflex
* Consult Urology IMMEDIATELY if you have high suspicion, otherwise proceed to ultrasound
* Ultrasound is only 85% sensitive, so clinical gestalt can trump even a negative US
* Attempt manual detorsion if there will be a significant delay to surgery
  continue reading

524 episoade

Artwork

Testicular Torsion (Deep Dive MW R19)

EM Clerkship

346 subscribers

published

iconDistribuie
 
Manage episode 412786969 series 1279218
Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
* Common during the first year of life as well as during puberty
* Presents with nausea/vomiting, abdominal pain, and/or testicular pain
* ALWAYS examine a child for signs of torsion who presents with abdominal pain (especially lower abdominal pain)
* Look for tenderness, firmness, high riding testicle or testicle with unequal lie, swelling, and the absence of a cremasteric reflex
* Consult Urology IMMEDIATELY if you have high suspicion, otherwise proceed to ultrasound
* Ultrasound is only 85% sensitive, so clinical gestalt can trump even a negative US
* Attempt manual detorsion if there will be a significant delay to surgery
  continue reading

524 episoade

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