Testicular Pain

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 10 September 2012

⏱️ 30 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

All right- let's keep the laughter to a minimum...today's episode is talking about how to approach testicular pain in the ED. You need to know how to approach this chief complaint because if you don't workup the patient correctly, they can lose their future fertility and possibly their testicle. We'll review how to take a good history and do a rapid focused exam to make sure that we catch all those patients with torsion and don't delay their treatment.

Transcript

Click on a timestamp to play from that location

0:00.8	This is Steve Carroll, and you're listening to the Em Basic podcast. Today, we're going to switch
0:05.6	it up and talk about testicular pain. While most causes of testicular pain are benign, we need to be on
0:11.2	the lookout for the serious causes that can lead to infertility and loss of the testicle, if not
0:16.7	treating in a timely manner. We'll go over the specific questions to ask, how to do a rapid and
0:22.3	focused exam, and how to diagnose and treat this chief complaint appropriately. While sexually
0:27.9	transmitted infections can cause testicular pain, we won't be focused on the entire realm of
0:33.1	STIs in this episode, because that is a whole episode unto itself. As always, this podcast doesn't
0:38.6	represent the views and opinions of the Department of Defense, the U.S. Army, or the Ford Hood Post-Command.
0:42.9	So let's get started. I'm going to let you know one thing up front about treating patients with
0:46.9	testicular pain. The most important part about this whole process is to make sure that we rule out
0:52.3	testicular torsion. I'll talk more about torsion in a little bit,
0:56.4	but the first thing we have to do is to make sure that these patients don't wait around for a long
1:01.6	time before they are seen. Usually the nurses and techs are good about grabbing us when they see a
1:07.1	patient with the sickular pain who is in a lot of distress because they know to be worried about torsion as well. However, don't let a patient with the sickular pain who is in a lot of distress, because they know
1:11.0	to be worried about torsion as well. However, don't let that patient with testicular pain
1:15.8	sit out in the triage area for a long time because by the time they get back to see you,
1:21.2	it may be too late and they may lose their testicle or lose their fertility. From a legal
1:26.3	standpoint, missing a torsion or delaying care
1:29.3	on one can be a big deal, so let's make sure to get it right. After I look at the chart and
1:34.3	look at the vitals, the first thing I do is to go into the room and look at the patient. If the patient
1:40.3	is sitting up in no apparent distress, then we can take the time to take a breath
1:45.0	and get the full history.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from EM Basic LLC, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of EM Basic LLC and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.