http://www.catscanman.net/blog/2008/12/mind-map-testicular-torsion/ random noise, nebulous views & artifacts Mon, 21 May 2012 08:42:49 +0000 http://wordpress.org/?v=2.7 hourly 1 http://www.catscanman.net/blog/2008/12/mind-map-testicular-torsion/comment-page-1/#comment-46942 Vijay Sat, 13 Dec 2008 05:19:13 +0000 http://www.catscanman.net/blog/?p=996#comment-46942 <strong>Rambodoc</strong>: I agree that when the patient arrives within the six hour interval he needs a surgical exploration without any loss of further time. Provided he is at high risk of torsion though. I am sure you will agree that there is a bit of overlap between the clinical presentation and examination findings between torsion and epididymo-orchitis. An ultrasound scan of the scrotum, which takes a few minutes to perform (though it may take a while to organize) gives you the diagnosis without doubt. Rambodoc: I agree that when the patient arrives within the six hour interval he needs a surgical exploration without any loss of further time. Provided he is at high risk of torsion though.
I am sure you will agree that there is a bit of overlap between the clinical presentation and examination findings between torsion and epididymo-orchitis. An ultrasound scan of the scrotum, which takes a few minutes to perform (though it may take a while to organize) gives you the diagnosis without doubt.

]]> http://www.catscanman.net/blog/2008/12/mind-map-testicular-torsion/comment-page-1/#comment-46939 Rambodoc Sat, 13 Dec 2008 03:25:57 +0000 http://www.catscanman.net/blog/?p=996#comment-46939 You know, I won't comment on the technology issue of this, but in scrotal pain, it is often too late when the patient presents to the surgeon, leaving no time for scans and stuff. You need to explore right away (golden 6 hours for sterility to set in from infarcts and immune damage thereof). You know, I won’t comment on the technology issue of this, but in scrotal pain, it is often too late when the patient presents to the surgeon, leaving no time for scans and stuff. You need to explore right away (golden 6 hours for sterility to set in from infarcts and immune damage thereof).

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