Free BCEN Certified Emergency Nurse (CEN) Practice Question
Manual detorsion can be initially attempted as a temporizing measure while preparing for surgical intervention in a patient with suspected testicular torsion.
The correct answer is true. Manual detorsion can be attempted by rotating the affected testicle in a direction similar to 'opening a book' or medially. This is a temporizing measure that can potentially alleviate pain and ischemia until definitive surgical management, typically involving orchiopexy, can be performed. The procedure is occasionally successful in reversing the torsion, and if there's a delay to surgery, it can restore blood flow and reduce the risk of testicular loss. However, surgery should not be delayed for attempts at manual detorsion, and emergency department personnel should focus on quick surgical consultation and intervention.
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What is testicular torsion and how does it happen?
What is orchidopexy, and why is it performed?
What are the potential complications if testicular torsion is not treated quickly?
This question's topic:
BCEN Certified Emergency Nurse (CEN) /
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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