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James Shared "Testicular Torsion" - 1 Picmonics

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Testicular Torsion

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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