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This 6-week old presented with scrotal pain. What is the diagnosis? A) Bilateral cryptorchidism B) Bilateral inguinal hernias C) Isolated right hydrocele D) Left retractile testis E) Left testicular torsion

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Hydrocele as transillumination is positive but a/w lt testicular torsion
Thanx dr Bhaswati Pathak
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E
Sir how should we diagnose testicular tortion by seeing this picture?
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SUGGESTIVE. OF E.. LEFT TESTICULAR TORSION.. BILATERAL. HYDROCELES. ARE. PRESENT.... LIGHT. TRANSILLUMINATION.. SHOWS ...... RT. HYDROCELE. WITH LT....OPAQUE... SCROTUM.. ADVISABLE... ..COLOR. DOPPLER. STUDY
Among options only E) Left testicular torsion has scrotal pain
Answer is E) LEFT TESTICULAR TORSION
Thanks Dr Shivraj Agarwal
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E. Testicular torsion
To be diagnosed by method of exclusion of other options given , the other causes usually does not associated with pain like cryptogonadism, hydrocele retactile testes More over simple test if you lift the testes pain will increase and if you drag down there will be slight relief of pain.
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Ans:E
Hydrocele
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