A 54-year-old male with a history of diabetes presents with “pain in my groin” for the past two weeks. He reports approximately one month of dysuria, and around two weeks ago noticed a dull aching sensation in his testicles that has progressively gotten worse. He came to the ED because he now has a fever, chills, and nausea along with his testicular pain.
EM@3AM: Testicular/Scrotal Abscesses Read More »
The emDOCs cast looks at testicular torsion, including the presentation, evaluation, and management. What do you need to know?
emDOCs Podcast – Episode 83: Testicular Torsion Read More »
A 25-year-old male is brought to the ED by EMS after sudden onset right testicular pain. He denies any trauma or contact to his scrotum or perineum; however, he endorses severe, sudden pain associated with nausea and non-bloody, non-bilious emesis. He additionally complains of mild lower right abdominal tenderness. Review of systems is otherwise unremarkable. On exam he is uncomfortable appearing and has a nontender abdomen. He has a normal penile exam, but the the right hemiscrotum has mild erythema, a horizontal lie, and it is exquisitely tender. What’s the next step in your evaluation and diagnosis?
EM@3AM: Testicular Torsion Read More »
This month’s Medical Malpractice Insights covers a case of testicular torsion.
Medical Malpractice Insights: Was this testicular torsion missed or not? Read More »
Brannon Inman and Lloyd Tannenbaum bring you a novel means of treating priapism.
An effective technique for aspiration in ischemic priapism: The “Stopcock” Method Read More »
How can you optimize your evaluation and management of patients with suspected urolithiasis?
Urolithiasis: ED Presentations, Evaluation, Management, and Disposition Read More »
One specific condition that may lead to a less than enjoyable shift is priapism. Why?
Priapism in Children Read More »
A 32-year-old male presents to the ED with penile pain. He states he was having sexual intercourse when he heard a loud pop, followed by sharp pain and immediate loss of erection. His vitals are HR 107, BP 128/46, RR 19, and T 37.2C. What is your diagnosis, and what diagnostic study would you order if there was blood at the meatus?
EM@3AM: Penile Fracture Read More »
In this Part 2 of Urologic Emergencies EM Cases main episode podcasts Dr. Natalie Wolpert and Dr. Yonah Krakowsky answer questions about testicular torsion.
EM Cases: Testicular Torsion: A Diagnostic Pathway Read More »
When should you suspect obstructive uropathy, and what is the evaluation and management?
Obstructive Uropathy: Presentation, Evaluation, and Management Read More »