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Acute Testicular Pain

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1. A podcast on acute testicular pain

A podcast on acute testicular pain A podcast on acute testicular pain – PEMBlog Search for: Search for: A podcast on acute testicular pain Acute testicular pain is a common presenting complaint in the Pediatric Emergency Department. In this episode of PEM Currents you will learn about testicular torsion, epididymitis, torsion of the appendix testis and appendix epididymis, inguinal hernias and more. And remember, first and foremost, time is testicle! Listen Subscribe References . By | 2019-01

2019 PEM Blog

2. Doppler ultrasonography in the evaluation of suspected testicular torsion

Doppler ultrasonography in the evaluation of suspected testicular torsion Doppler ultrasonography in the evaluation of suspected testicular torsion We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Doppler ultrasonography in the evaluation of suspected testicular torsion Share: Reading time less than 1 minute Acute scrotal pain can be caused (...) by testicular torsion. The blood flow to the testicle is then impaired and a worst-case scenario is total loss of blood supply. The testicle can then shrink (undergo atrophy) and lose its function. Suspected testicular torsion is a condition that requires urgent treatment and accurate diagnostics. Question What is the diagnostic accuracy of Doppler ultrasonography in the detection of testicular torsion? The complete Enquiry response is published in Swedish. Click on ”På svenska” in the top menu to read

2018 Swedish Council on Technology Assessement

3. Comparative Effectiveness of Analgesics To Reduce Acute Pain in the Prehospital Setting

Comparative Effectiveness of Analgesics To Reduce Acute Pain in the Prehospital Setting Comparative Effectiveness of Analgesics To Reduce Acute Pain in the Prehospital Setting Comparative Effectiveness Review Number 220 R Comparative Effectiveness Review Number 220 Comparative Effectiveness of Analgesics To Reduce Acute Pain in the Prehospital Setting Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 (...) analgesics as treatment of moderate to severe acute pain in the prehospital setting. Key Messages • As initial therapy in the prehospital setting: o Nonsteroidal anti-inflammatory drugs provide similar pain relief to opioids and may cause fewer overall side effects and less drowsiness. o Acetaminophen may provide similar pain relief to opioids, and may cause fewer side effects overall and less dizziness. o Ketamine may provide similar pain relief to opioids. Ketamine may cause more dizziness or overall

2019 Effective Health Care Program (AHRQ)

4. Acute Testicular Pain

Acute Testicular Pain Acute Testicular Pain Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Testicular Pain Acute Testicular (...) Pain Aka: Acute Testicular Pain , Testicular Pain , Scrotal Pain , Acute Scrotum From Related Chapters II. Causes: Common Acute Causes of Scrotal Pain to Strangulated III. Causes: Uncommon Acute Causes of Scrotal Pain (5% of Testicular Pain cases) Familial mediterranean fever Local Associated with Associated with testicular appendage or venomous bite Torsion of Torsion of IV. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2018 FP Notebook

5. Testicular torsion

leading to constriction of the vascular supply and time-sensitive ischaemia and/or necrosis of testicular tissue. Ringdahl E, Teague L. Testicular torsion. Am Fam Physician. 2006 Nov 15;74(10):1739-43. https://www.aafp.org/afp/2006/1115/p1739.html http://www.ncbi.nlm.nih.gov/pubmed/17137004?tool=bestpractice.com History and exam testicular pain intermittent or acute on-and-off pain no pain relief upon elevation of scrotum scrotal swelling or oedema scrotal erythema reactive hydrocele high-riding (...) testicle horizontal lie absent cremasteric reflex nausea and vomiting abdominal pain fever urinary frequency age under 25 years neonate bell clapper deformity trauma/exercise intermittent testicular pain undescended testicle cold weather Diagnostic investigations grey-scale ultrasound power Doppler ultrasound colour Doppler ultrasound spectral Doppler urinalysis FBC CRP scintigraphy Treatment algorithm ACUTE Contributors Authors Professor of Surgery Department of Surgery UC San Diego School of Medicine

2018 BMJ Best Practice

6. Testicular Cancer

Testicular Cancer Testicular Cancer | Uroweb › Testicular Cancer Testicular Cancer To access the pdfs & translations of individual guidelines, please as EAU member. Non-EAU members can view the web versions. To become an EAU member, click . M.P. Laguna (Chair), P. Albers, W. Albrecht, F. Algaba, C. Bokemeyer, J.L. Boormans, G. Cohn-Cedermark, K. Fizazi, H. Gremmels (Patient advocate), A. Horwich, D. Nichol, N. Nicolai, J. Oldenburg Guidelines Associates: J. Mayor de Castro, Ch. Fankhauser TABLE (...) OF CONTENTS REFERENCES 1. Albers, P., et al. Guidelines on Testicular Cancer: 2015 Update. Eur Urol, 2015. 68: 1054. 2. Guyatt, G.H., et al. What is “quality of evidence” and why is it important to clinicians? BMJ, 2008. 336: 995. 3. Guyatt, G.H., et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008. 336: 924. 4. Phillips B, et al. Oxford Centre for Evidence-based Medicine Levels of Evidence. Updated by Jeremy Howick March 2009. 1998. 5. Guyatt, G.H

2019 European Association of Urology

7. Diagnosis and Treatment of Early Stage Testicular Cancer

Principle) × Discussion Testis cancer is the most common solid malignancy among men aged 20-40 years. 36 The typical presentation is a painless, enlarging mass. Acute testicular pain is less common and caused by rapid expansion of the testis due to intra-tumor hemorrhage or infarction caused by rapid tumor growth. A solid testis mass may be distinguished from other disease entities by physical examination and ultrasound. Diagnostic delay is a common phenomenon, with both patients and physicians (...) Diagnosis and Treatment of Early Stage Testicular Cancer Diagnosis and Treatment of Early Stage Testicular Cancer: AUA Guideline (2019) - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis

2019 American Urological Association

8. Testicular Cancer

Testicular Cancer Testicular Cancer | Uroweb › Testicular Cancer Testicular Cancer To access the pdfs & translations of individual guidelines, please as EAU member. Non-EAU members can view the web versions. To become an EAU member, click . M.P. Laguna (Chair), P. Albers, W. Albrecht, F. Algaba, C. Bokemeyer, J.L. Boormans, G. Cohn-Cedermark, K. Fizazi, H. Gremmels (Patient advocate), A. Horwich, D. Nichol, N. Nicolai, J. Oldenburg Guidelines Associates: J. Mayor de Castro, Ch. Fankhauser TABLE (...) OF CONTENTS REFERENCES 1. Albers, P., et al. Guidelines on Testicular Cancer: 2015 Update. Eur Urol, 2015. 68: 1054. 2. Guyatt, G.H., et al. What is “quality of evidence” and why is it important to clinicians? BMJ, 2008. 336: 995. 3. Guyatt, G.H., et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008. 336: 924. 4. Phillips B, et al. Oxford Centre for Evidence-based Medicine Levels of Evidence. Updated by Jeremy Howick March 2009. 1998. 5. Guyatt, G.H

2018 European Association of Urology

9. Acute Global Testicular Infarction Post-EVAR from Cholesterol Embolisation can be Mistaken for Torsion (PubMed)

Acute Global Testicular Infarction Post-EVAR from Cholesterol Embolisation can be Mistaken for Torsion Endovascular aneurysm repair (EVAR) is the most commonly used approach for treatment of abdominal aortic aneurysms (AAA). Testicular infarction is a rare complication of EVAR. A novel case of acute global testicular infarction post-EVAR from cholesterol embolisation mimicking torsion is presented.A 75 year old man developed acute right testicular ischaemia requiring orchidectomy following EVAR (...) of an infrarenal aortic aneurysm. The patient was initially diagnosed with testicular torsion as the aetiology of the infarction; however, on re-analysis of histopathology it was found to be secondary to cholesterol emboli.In patients complaining of groin/scrotal pain following EVAR, it is worth considering testicular ischaemia whether secondary to cholesterol embolisation or gonadal occlusion. Clinicians should be aware that clinical and radiological findings can mimic torsion as this affects management

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2017 EJVES Short Reports

10. Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis

Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis Comparative Effectiveness Review Number 157 Comparative Effectiveness Review Number 157 Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2012-00012-I Prepared (...) . Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis. Comparative Effectiveness Review No. 157. (Prepared by the Brown Evidence-based Practice Center under Contract No. 290-2012-00012-I.) AHRQ Publication No. 15(16)-EHC025-EF. Rockville, MD: Agency for Healthcare Research and Quality; December 2015. www.effectivehealthcare.ahrq.gov/reports/final.cfm .iii Preface The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors

2016 Effective Health Care Program (AHRQ)

11. eUpdate ? Testicular Seminoma and Non-Seminoma Treatment Recommendations

eUpdate ? Testicular Seminoma and Non-Seminoma Treatment Recommendations Treatment Recommendations Testicular Seminoma and Non-Seminoma | ESMO Welcome to the EUROPEAN SOCIETY FOR MEDICAL ONCOLOGY , the leading European professional organisation for medical oncology. Search Careers at ESMO ESMO Oncology Journals Our journals offer ESMO members and the oncology community a globally visible platform to publish scientific studies, and a highly credible source of educational updates.​ Connect (...) and Neuroendocrine Cancers Neuroendocrine Bronchial and Thymic Tumours • Neuroendocrine Gastroenteropancreatic Tumours • Adrenal Cancer • Thyroid Cancer Gastrointestinal Cancers Rectal Cancer • Biliary cancer • Gastric cancer • Oesophageal cancer • Cancer of the pancreas • Metastatic colorectal cancer • Anal cancer • Early colon cancer • Familial risk colorectal cancer • Hepatocellular carcinoma Genitourinary Cancers Testicular Germ Cell Cancer • Cancer of the Prostate • Bladder Cancer • Renal Cell Carcinoma

2017 European Society for Medical Oncology

12. Testicular Pain Start Pack

this one only applies to 50% of the population you will not doubt agree that acute testicular pain is a common ED problem worthy of prompt evaluation. Summer Penile Syndrome By | 2016-12-14T12:56:37-04:00 July 21st, 2016 | | Share this post About the Author: Brad Sobolewski, MD, MEd is an Associate Professor of Pediatric Emergency Medicine and an Assistant Director for the Pediatric Residency Training Program at Cincinnati Children's Hospital Medical Center. He is on Twitter @PEMTweets and authors (...) Testicular Pain Start Pack Testicular Pain Starter Pack – PEMBlog Search for: Search for: Testicular Pain Starter Pack It’s the beginning of a new academic year – and whether or not you are entering the ED for the first time, or returning after a hiatus it’s a good time to catch up on the basics. That’s what these “Starter Packs” are about. I have collated a number of different posts to give you an idea of what I’ve shared over the past few years on a number of common conditions. Though

2016 PEM Blog

13. Testicular Pain Starter Pack

this one only applies to 50% of the population you will not doubt agree that acute testicular pain is a common ED problem worthy of prompt evaluation. Summer Penile Syndrome By | 2016-12-14T12:56:37-04:00 July 21st, 2016 | | Share this post About the Author: Brad Sobolewski, MD, MEd is an Associate Professor of Pediatric Emergency Medicine and an Assistant Director for the Pediatric Residency Training Program at Cincinnati Children's Hospital Medical Center. He is on Twitter @PEMTweets and authors (...) Testicular Pain Starter Pack Testicular Pain Starter Pack – PEMBlog Search for: Search for: Testicular Pain Starter Pack It’s the beginning of a new academic year – and whether or not you are entering the ED for the first time, or returning after a hiatus it’s a good time to catch up on the basics. That’s what these “Starter Packs” are about. I have collated a number of different posts to give you an idea of what I’ve shared over the past few years on a number of common conditions. Though

2016 PEM Blog

14. A systematic review of rare differential diagnoses of acute scrotal pain in adults: what is beyond testicular torsion and epididymitis?

A systematic review of rare differential diagnoses of acute scrotal pain in adults: what is beyond testicular torsion and epididymitis? Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne

2018 PROSPERO

15. Acute testicular pain in children: collaboration in timely management. (PubMed)

Acute testicular pain in children: collaboration in timely management. Acute scrotal pain in a child is a urological emergency. Surgeons should be involved early and exclude torsion promptly, often by surgical exploration. This short report compares the time taken by different medical practitioners [Emergency Department (ED) doctors and surgeons] to assess children presenting to the ED with acute scrotal pain. A retrospective observational study was carried out in a district general hospital ED (...) over a 2-year period. A total of 205 children presented with testicular pain, 48 of whom were clinically diagnosed with torsion in the ED. Surgeons reviewed patients with testicular pain quicker than ED doctors when they were referred directly from triage (P=0.019). Overall, review by a surgeon was more timely if the patient was referred directly from triage rather than after referral by the ED doctor (P<0.0001). A direct fast-track referral system to surgeons is needed in the ED to prevent

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2015 European Journal of Emergency Medicine

16. Suppurative appendicitis presenting as acute scrotum confounded by a testicular appendage (PubMed)

Suppurative appendicitis presenting as acute scrotum confounded by a testicular appendage Patients presenting with testicular pain and swelling mandate an urgent urology review and scrotal exploration to prevent testicle loss due to torsion. Other pathology masquerading as torsion is extremely rare but can occur. We present one such case. A 14-year-old male presented with a 1-day history of right testicular swelling and tenderness. He was apyrexial and denied any other symptoms. Blood tests (...) demonstrated raised inflammatory markers. He had lower left-sided abdominal tenderness with a swollen, erythematous right hemiscrotum. During an urgent scrotal exploration for testicular torsion, a purulent hydrocele with a patent process vaginalis was noted, but no torsion. Post-operative abdominal pain mandated a general surgical review and subsequent appendicectomy. The patient made a full recovery. Acute suppurative appendicitis presenting as a urological emergency is extremely rare. To make a correct

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2016 Journal of surgical case reports

17. Factors Influencing Rate of Testicular Salvage in Acute Testicular Torsion at a Tertiary Pediatric Center (PubMed)

Factors Influencing Rate of Testicular Salvage in Acute Testicular Torsion at a Tertiary Pediatric Center Studies have demonstrated that variables other than duration of symptoms can affect outcomes in children with acute testicular torsion. We examined demographic and logistical factors, including inter-hospital transfer, which may affect outcomes at a tertiary pediatric referral center.We reviewed charts of all pediatric patients with acute testicular torsion during a five-year period. Data (...) were collected regarding age, insurance type, socioeconomic status, duration of symptoms prior to presentation, transfer status, time of day, time to surgical exploration, and testicular salvage.Our study included 114 patients. Testicular salvage was possible in 55.3% of patients. Thirty-one percent of patients included in the study were transferred from another facility. Inter-hospital transfer did not affect testicular salvage rate. Time to surgery and duration of pain were higher among patients

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2015 Western Journal of Emergency Medicine

18. Testicular ischemia in deficiency of adenosine deaminase 2 (DADA2). (PubMed)

with acute testicular ischaemia secondary to vasculitis, the first such description in DADA2.A six year old male presented acute right-sided testicular pain. His history included transient infantile neutropenia, resolved hepatosplenomegaly, and longstanding livedo racemosa, leading to screening and confirmation of DADA2 caused by homozygous c.139G > C (p.G47R) mutation of ADA2. As his only clinical feature was that of mild livedo racemosa with normal laboratory parameters at diagnosis, he was being (...) actively monitored prior to starting any treatment. At a routine clinic follow-up a 24 h history of testicular pain was noted on systems review. He was afebrile, and his only physical signs were that of moderate livedo racemosa, and tenderness of the right testicle. Laboratory parameters revealed C-reactive protein (CRP) 8 mg/L (reference range [RR] < 20 mg/L); erythrocyte sedimentation rate (ESR) 28 mm/hr. (RR < 10); and serum amyloid A (SAA)5 mg/L (RR < 10). Ultrasound-scan of the scrotum revealed

2019 Pediatric Rheumatology

19. Acute Onset of Scrotal Pain ? without Trauma, without Antecedent Mass

. Bardo, MD g ; Jaron Chong, MD h ; Adam T. Froemming, MD i ; Pat F. Fulgham, MD j ; Matthew T. Heller, MD k ; Jodi K. Maranchie, MD l ; Rekha N. Mody, MD m ; Bhavik N. Patel, MD, MBA n ; Nicola Schieda, MD o ; Ismail B. Turkbey, MD p ; Aradhana M. Venkatesan, MD q ; Don C. Yoo, MD r ; Mark E. Lockhart, MD, MPH. s Summary of Literature Review Introduction/Background An acute scrotum is defined as testicular swelling with acute pain and can reflect multiple etiologies, including epididymitis (...) or epididymo-orchitis, torsion of the spermatic cord, or torsion of the testicular appendages. Quick and accurate diagnosis of acute scrotum and its etiology is necessary because a delayed diagnosis of torsion for as little as 6 hours can cause irreparable testicular damage [1,2]. The single most common cause for acute scrotal pain is epididymitis. There are approximately 600,000 cases of epididymitis diagnosed every year in the United States [3]. Infection is commonly seen in patients 19 to 25 years

2014 American College of Radiology

20. Testicular Cancer Treatment (PDQ®): Health Professional Version

Testicular Cancer Treatment (PDQ®): Health Professional Version Testicular Cancer Treatment (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Cancer Information Summaries [Internet]. Bethesda (MD (...) ): ; 2002-. Search term Testicular Cancer Treatment (PDQ®) Health Professional Version PDQ Adult Treatment Editorial Board . Published online: February 6, 2019. This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about the treatment of testicular cancer. It is intended as a resource to inform and assist clinicians who care for cancer patients. It does not provide formal guidelines or recommendations for making health care

2017 PDQ - NCI's Comprehensive Cancer Database

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