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Atraumatic testicular pain 

Atraumatic testicular pain
Atraumatic testicular pain

Oliver Spencer

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date: 26 January 2022

This chapter provides a discussion of the challenges facing the emergency physician dealing with the acute scrotum presenting to the emergency department. It describes an overview of the range of potential presentations and differential diagnoses and the signs and symptoms that may aide differentiation.

It examines the evidence base for three key clinical questions: the use of clinical signs in ruling in or ruling out torsion; the practicalities of attempting manual detorsion of a testes, and the contentious role of ultrasound as to whether to conduct scans at all. Evidence is examined as to whether all acute presentations of scrotal pain should be explored regardless of evidence of blood flow on scan.

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