Emergency MedicineUrology
Acute Scrotum
Differentiate testicular torsion (urgent) from epididymo-orchitis, torsion of appendix testis, hernia, hydrocele.
Source: BAUS 2018; EAU 2024
Step 1 of ~6
info
Time-Critical Assessment
Sudden severe scrotal pain — TORSION until proven otherwise (testicular salvage rate ~90% if surgery <6h, falls to <10% beyond 24h). Examination: high-riding tender testis, absent cremasteric reflex, transverse lie.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Prednisolone (Systemic) · Systemic Corticosteroid — Acute Dermatoses
- Methoxyflurane · Inhaled Analgesic — Acute Pain
- Colchicine (Acute Gout) · Anti-Inflammatory (Microtubule Inhibitor)
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only. Always apply local guidelines and clinical judgement.