An 8 year old boy has testicular pain of gradual onset over the last three days


Question Number 0976
Question:
An 8 year old boy has testicular pain of gradual onset over the last three days. The pain is localized to the upper pole with a positive cremasteric reflex. A hard, tender nodule of less than 5mm in size is palpable in this region. On inspection there is a small bluish discoloration and localised tenderness in the upper pole of the testes. Doppler ultrasonography reveals a small nodule adjacent to the upper pole of the testis and normal vascularity. The most appropriate next step would be
a) prompt surgical exploration
b) needle aspiration
c) ceftriaxone and doxycycline
d) nonsteroidal anti-inflammatory agents
e) radionuclide scintigraphy


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