Right Testicular Pain Case Study Example | Topics and Well Written Essays - 1000 words

Right Testicular Pain - Case Study Example Just as Brown-Guttovz (2007) states, to eradicate chances for misdiagnosis, I may have to: observe the patient’s gait and resting position; the natural position of the testis in the scrotal sac when the patient is standing; the presence or absence of cremasteric reflex; determine whether the swelling is reducible; check and compare the palpitation of the scrotum, scrotal contents of the affected Hemi scrotum against the affected Hemi scrotum; and analyze palpitations in the lower abdomen and the inguinal and cord canals.Nevertheless, from the foregoing, the absence of the cremasteric reflex make it clear that the patient is suffering from testicular torsion and not any other testicular conditions that are also accompanied with pain, The evaluation, diagnosis, and treatment of the patient is required and should be done very fast because if testicular torsion goes untreated for 6 hours, the affected testis may be lost. In this respect, blood tests will not be considered at this stage. Radionuclide scanning is very accurate but may not be applicable at this stage since time will be of the essence. In light of the recommendation put forth by Somani, Watson, and Townell (2010), Doppler tests may be used to identify the absence of the patient’s blood flow in the affected or twisted testicle. The Doppler ultrasound scan on the scrotum is 90% accurate in detecting testicular torsion and differentiating testicular torsion from other sources of testicular pain and complications such as epididymitis.