Good morning everybody. My name is Andrew and welcome to episode 68 of the

Physician assistant boards.com podcast. I want to start off this episode today

by thinking everybody who's following me on Instagram. I launched the account about two weeks ago and we've

already grown to about 2,700 followers. So thank you for all those that are supporting,

that are tagging your friends, that are liking, that are commenting. You know, I really appreciate it so thank you for that and if you're

not already following make sure to give us a follow the handle is PA boards or you can

go online Instagram.com forward slash PA boards so today we're going to talk about testicular torsion and

testicular torsion is simply twisting of the testicle on the spermaticord

this ultimately leads to eschemia which ultimately leads to ischemia, which ultimately leads to necrosis.

Now the most common type of torsion is going to be intra vaginal torsion from a bell claprin

anatomic deformity or trauma. It's a medical emergency and it's

going to be more common in neonates and post-purital boys. So let's review some

quick anatomy regarding the testicular structure. The structures involved are going to be in the pathology

are going to be the testicle and this is a vertical structure running up and down. You're going to have the

tunica vaginalis, the epididamus, the spermaticord, and the appendix testes.

Now the tunica veginalis encompasses the anterior two-thirds of the testicle, and this is a space,

so fluid can accumulate within the tunica veginalis and fluid can be you know water or blood

pus so if there's water this is going to be a hydrosial if there's blood homatoseile, etc, etc.

So when there's fluid leading into there,

this leads to different types of pathology.

The Epididymus, this is a tightly coiled tubular structure

and it's located on the posterior aspect of the testes.

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