The lecture duration is 10min.
0.25 CPD Points, 0.25 CEUs, 0.25 CME credits approval pending.
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Time is Testicle! Testicular torsion occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum, thus leading initially to ischaemia and, after 8 hours, infarction and infertility. Acute (< 12 hours) onset of severe testicular pain associated with nausea or vomiting, absent cremasteric reflex, testicular tenderness and swelling and high-riding or transverse position of the testes are specific clinical signs diagnostic of testicular torsion warranting an immediate surgical review. Manual detorsion may be attempted by medial to lateral "opening a book" rotation of the affected testis, but this should not delay or negate the need for the surgical consult even if successful. Salvage rates of the testis within 4-6 hours are at 97-100% but decline significantly after this. Time is Testicle!
Emergency Medicine Doctors
Emergency Medicine Nurses
Paramedics
Rural GP's
Upon completion of this activity, you should be able to: