A 13 year old presents to the Casualty Department on a Friday afternoon at 5pm with acute pain and swelling of the scrotum since lunchtime


Question Number 0972
Question:
A 13 year old presents to the Casualty Department on a Friday afternoon at 5pm with acute pain and swelling of the scrotum since lunchtime. He had been on a school trip to a local farm that morning. On examination, his scrotum is swollen and tender. The cremasteric reflex is absent. The most appropriate next step would be
a) prompt surgical exploration
b) nonsteroidal anti-inflammatory agents
c) inguinal-scrotal ultrasound
d) needle aspiration
e) ceftriaxone and doxycycline


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