Testicular Emergency Conditions Quiz
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Questions and Answers

What is the main cause of testicular torsion?

  • Disruption of the epididymis
  • Excessive arterial inflow to the testis
  • Venous outflow obstruction
  • Inadequate fixation of the testis to the tunica albuginea (correct)
  • At what age group is testicular torsion more common?

  • Adults only
  • Elderly men
  • Teenagers and postpubertal boys (correct)
  • Infants only
  • What percentage of adult patients hospitalized with acute scrotal pain have testicular torsion?

  • Approximately 75%
  • Less than 10%
  • Nearly 100%
  • Around 50% (correct)
  • What is the consequence of the testis suffering irreversible damage after 12 hours of ischemia due to torsion?

    <p>Development of anti-sperm antibodies</p> Signup and view all the answers

    How is testicular torsion usually diagnosed?

    <p>By acute onset of severe symptoms and physical findings</p> Signup and view all the answers

    What is the primary mechanism leading to ischemia in testicular torsion?

    <p>Reduced arterial inflow and venous outflow obstruction</p> Signup and view all the answers

    What is the congenital anomaly called when the tunica vaginalis has an inappropriately high attachment, allowing the testicle to rotate freely?

    <p>Bell clapper deformity</p> Signup and view all the answers

    At what angle twist is required during testis torsion to compromise flow through the testicular artery and cause ischemia?

    <p>720°</p> Signup and view all the answers

    What is the most common cause of testis loss in the US?

    <p>Testicular torsion</p> Signup and view all the answers

    Which type of testicular torsion occurs when the testicle twists spontaneously on the spermatic cord?

    <p>Intravaginal torsion</p> Signup and view all the answers

    What is the term used for when the testicle has not yet descended into the scrotum in neonates, predisposing it to torsion?

    <p>Inguinal retention</p> Signup and view all the answers

    What does testicular torsion typically present with?

    <p>Rapid onset of severe pain and swelling</p> Signup and view all the answers

    What is a classic physical examination finding in testis torsion?

    <p>Exquisitely tender testicle with a high, horizontal lie</p> Signup and view all the answers

    In which age group should torsion be considered in evaluating men with scrotal pain?

    <p>Men 40-50 years old</p> Signup and view all the answers

    What may occasionally occur in men 40-50 years old according to the text?

    <p>Torsion</p> Signup and view all the answers

    What is the recommended action with a high degree of suspicion of testis torsion?

    <p>Recommend surgical exploration without delay</p> Signup and view all the answers

    What may be indistinguishable from epididymoorchitis at a later stage of testis torsion?

    <p>Confluent mass without identifiable landmarks</p> Signup and view all the answers

    What is the most useful adjunct to history and physical examination in the diagnosis of torsion?

    <p>Scrotal ultrasonography</p> Signup and view all the answers

    What physical examination findings may be present in blunt testicular injury?

    <p>Swelling, tenderness, or ecchymosis</p> Signup and view all the answers

    When is surgical exploration recommended for scrotal injuries?

    <p>For penetrating injuries to the scrotum</p> Signup and view all the answers

    Which ultrasound finding is highly predictive of testicular rupture?

    <p>Marked loss of internal homogeneity of the testis</p> Signup and view all the answers

    What is the appropriate therapy for intratesticular hematoma?

    <p>Observation, rest, cold packs, and analgesics</p> Signup and view all the answers

    In what scenario is testicular rupture unlikely?

    <p>When the testis is entirely normal to palpation</p> Signup and view all the answers

    Which scrotal injury may benefit from drainage?

    <p>Large or painful hematoceles</p> Signup and view all the answers

    What is the alternative to detorsion for pain relief in affected patients?

    <p>Bilateral scrotal orchiopexy</p> Signup and view all the answers

    What is a classic feature of 'intermittent' testicular torsion?

    <p>Normal physical examination</p> Signup and view all the answers

    What sign is observed when the appendage is ecchymotic?

    <p>Blue-dot sign</p> Signup and view all the answers

    What happens to the infarcted appendage over time if not surgically explored?

    <p>It undergoes atrophy</p> Signup and view all the answers

    In which area is the appendix testis most commonly affected by torsion?

    <p>Upper pole of the testis</p> Signup and view all the answers

    What procedure is done if exploration for the infarcted appendage is pursued?

    <p>Excision of the appendage</p> Signup and view all the answers

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