Medical Council of Canada MCCQE Part 1 MCCQE Question # 16 Topic 2 Discussion
MCCQE Exam Topic 2 Question 16 Discussion:
Question #: 16
Topic #: 2
A 34-year-old man sustained a blunt testicular trauma 2 hours ago. On physical examination, the patient has a 1.5-cm tall scrotal hematoma. You cannot palpate the testicle. Which one of the following is the best initial management?
In cases of blunt testicular trauma with inability to palpate the testicle due to hematoma, scrotal ultrasonography is the first-line investigation to assess for testicular rupture or other injury.
Toronto Notes 2023 – Urology, “Testicular Trauma”:
“Scrotal ultrasound is the investigation of choice to assess for testicular rupture, hematoma, or torsion. Early imaging is critical if testis is non-palpable or if hematoma is significant.”
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