James Shared "Testicular Torsion" - 1 Picmonics
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Testicular Torsion
- Testicular torsion
- Twisting of spermatic cord
- Thin walled veins become obstructed leading to congestion and hemorrhagic infarction
- Gonadal artery is inside the spermatic cord (descends from abdominal aorta on both sides)
- Usually due to congenital failure of testes to attach to the inner lining of the scrotum (via the processus vaginalis)
- Presents in adolescents with sudden testicular pain
- Absent cremasteric reflex
- High riding testis
- NEGATIVE prehn sign (pain doesn't decrease with scrotal elevation)
- Dx: Ultrasound shows decreased blood flow
- Tx: Immediate surgery within 6 hours to salvage testis; Orchiopexy of both testis to prevent future torsion
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