09-13-2011, 07:29 AM
244 ) A 10-year-old Caucasian boy presents with right scrotal pain of 7 hours duration. The pain is acute in onset, constant and does not change with position. The patient denies any fever, chills, dysuria, nausea or vomiting. He denies any recent history of trauma. On physical examination, the patient is afebrile and is in moderate distress secondary to pain. There is no urethral discharge. Cremasteric reflex is present bilaterally. There is bluish discoloration and localized tenderness in the upper part of the testes. Labs reveal a normal Complete Blood Count and Urinalysis. What is the most likely clinical diagnosis in this patient?
A) Testicular torsion
B) Strangulated Hernia
C) Congenital Hydrocele
D) Torsion of Testicular appendix
E) Acute Epidydimitis
A) Testicular torsion
B) Strangulated Hernia
C) Congenital Hydrocele
D) Torsion of Testicular appendix
E) Acute Epidydimitis