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Deep Dive MW R19

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Manage episode 412786969 series 1279218
Content provided by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD 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
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544 episoade

Artwork

Deep Dive MW R19

EM Clerkship

357 subscribers

published

iconDistribuie
 
Manage episode 412786969 series 1279218
Content provided by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD 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

544 episoade

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