A 17yo boy while playing football got a kick and now he is complaining of severe pain and
swelling of the left side of his scrotum. What inv is the most appropriate to dx?
a. Needle aspiration of scrotum
b. US scrotum
c. MSU
d. Surgical exploration of scrotum
e. Urine test for hematuria
answer: D
Torsion of testis : acute onset severe pain, history of trauma or crypto-testes…necrosis in 5hours, needs rapid surgery…doppler US is diagnostic but would waste precious time…straight to the OR