Medical Case Details:
A 10-year-old child paid a visit to my clinic with complaints of abdominal pain for the past 2 hours and one episode of vomiting. On palpating, the child had right iliac fossa tenderness and scrotal pain as well, but there is no fever.Discussions
Dr. Amara Deepthi Pravallika
General Surgeon
Hi
It can be torsion testis or hernia with obstruction..are there any clinical signs related to these both
Best comment
03.May, 01:19pm
General Surgeon
Hi
It can be torsion testis or hernia with obstruction..are there any clinical signs related to these both
▲ 1
Best comment
03.May, 01:19pm
Dr. Toleti Satya Lalitha Tejaswini
General Practitioner
No clinical evidence of either of them. Ultrasound report in favour of appendicitis
General Practitioner
No clinical evidence of either of them. Ultrasound report in favour of appendicitis
03.May, 02:35pm
Dr. Hussain Shabbir Kotawala
General Surgeon
Get cbc dne,
if stil in doubt, CT abdomen..
til then start gud analgesic ,
General Surgeon
Get cbc dne,
if stil in doubt, CT abdomen..
til then start gud analgesic ,
03.May, 04:18pm
Dr. Prakash Chandra Girdhar Lal Nagar
Child Health Specialist
I agree with Dr Deepthi , as per the clinical scenario with scrotal tenderness very first to r/o torsion . Its unusual to have scrotal tenderness due to appendicitis. Did radiologist put the prob on scrotum to r/o testicular causes including orchitis or epididymitis??
CT is a definitely good option to confirm abdominal cause.
Child Health Specialist
I agree with Dr Deepthi , as per the clinical scenario with scrotal tenderness very first to r/o torsion . Its unusual to have scrotal tenderness due to appendicitis. Did radiologist put the prob on scrotum to r/o testicular causes including orchitis or epididymitis??
CT is a definitely good option to confirm abdominal cause.
▲ 1
03.May, 04:59pm
Dr. Toleti Satya Lalitha Tejaswini
General Practitioner
Yes I had similar doubt and spoke to the radiologist and ruled out.
General Practitioner
Yes I had similar doubt and spoke to the radiologist and ruled out.
03.May, 05:18pm
Dr. Toleti Satya Lalitha Tejaswini
General Practitioner
Yes I had similar doubt and spoke to the radiologist and ruled out.
General Practitioner
Yes I had similar doubt and spoke to the radiologist and ruled out.
03.May, 05:18pm
Dr. Amara Deepthi Pravallika
General Surgeon
Then better to proceed with cbc and cect abdomen..
General Surgeon
Then better to proceed with cbc and cect abdomen..
03.May, 09:16pm
Dr. Sudhakar Palanisamy
Paediatrician
If there is significant unilateral scrotal tenderness then its Torsion unless proved otherwise
Paediatrician
If there is significant unilateral scrotal tenderness then its Torsion unless proved otherwise
24.May, 12:06pm
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