RESUMEN
Testicular torsion is a surgical emergency and requires prompt recognition and treatment. Health care personnel often forget this differential diagnosis in males who present with abdominal pain as their only complaint. There is a 4- to 6-hour window from the onset of symptoms to the surgical intervention to salvage the testes. It is imperative for health care personnel to consider testicular torsion in any male presenting with abdominal pain and to complete a genitourinary examination. The purpose of this case review is to highlight the importance of a genitourinary examination in recognizing testicular torsion.
Asunto(s)
Dolor Abdominal/diagnóstico , Dolor Abdominal/enfermería , Diagnóstico de Enfermería , Torsión del Cordón Espermático/diagnóstico , Torsión del Cordón Espermático/enfermería , Dolor Abdominal/cirugía , Adolescente , Diagnóstico Diferencial , Urgencias Médicas , Servicio de Urgencia en Hospital , Humanos , Masculino , Orquiectomía , Torsión del Cordón Espermático/cirugíaRESUMEN
Nurses working in emergency care often have to manage patients with undifferentiated and previously undiagnosed conditions. This month, Emergency Nurse continues to look at how emergency nurses across the UK have tackled them.
Asunto(s)
Torsión del Cordón Espermático , Humanos , Masculino , Torsión del Cordón Espermático/diagnóstico , Torsión del Cordón Espermático/enfermería , Torsión del Cordón Espermático/cirugíaRESUMEN
Testicular torsion is a urological emergency affecting 3.8 per 100,000 males younger than 18 years. Differential diagnosis of the acutely painful scrotum is crucial for the advance practice nurse to understand. Advanced practice nurses should consider the differential diagnosis of testicular torsion for any patient with testicular pain despite the patient's age, history, or physical examination findings. The standard of care for a patient with testicular pain to rule out testicular torsion is a Doppler ultrasound scan and an emergent urology consult. Immediate attention to this urological emergency will decrease risks to testicular viability.
Asunto(s)
Servicio de Urgencia en Hospital , Diagnóstico de Enfermería , Torsión del Cordón Espermático/diagnóstico , Torsión del Cordón Espermático/enfermería , Adolescente , Niño , Diagnóstico Diferencial , Humanos , Masculino , Examen Físico , Triaje , Ultrasonografía DopplerAsunto(s)
Enfermería de Urgencia/métodos , Epididimitis/enfermería , Conocimientos, Actitudes y Práctica en Salud , Torsión del Cordón Espermático/enfermería , Neoplasias Testiculares/enfermería , Urgencias Médicas , Enfermería de Urgencia/educación , Tratamiento de Urgencia/métodos , Epididimitis/diagnóstico , Humanos , Masculino , Torsión del Cordón Espermático/diagnóstico , Neoplasias Testiculares/diagnósticoRESUMEN
Testicular torsion in the neonatal period is an unusual finding. Because of the high morbidity associated with this condition, early recognition and appropriate management are imperative. Testicular torsion may be unilateral or bilateral and may occur prenatally or in the early postnatal period. Often, the nurse is the first health care provider to examine a newborn after birth and must be aware of the signs of this condition to minimize the risk of testicular loss.
Asunto(s)
Torsión del Cordón Espermático/diagnóstico , Diagnóstico Diferencial , Estudios de Seguimiento , Humanos , Recién Nacido , Masculino , Evaluación en Enfermería , Examen Físico , Factores de Riesgo , Escroto , Torsión del Cordón Espermático/enfermería , Factores de TiempoRESUMEN
Torsions of the spermatic cord occurring from the intrauterine period to the end of the first year of life are termed perinatal. These are divided into prenatal and postnatal torsions, depending on their occurrence in the intrauterine or postuterine period. From January 1984 to January 1996, 6 cases were identified at our institution, involving 4 prenatal and 2 postnatal extravaginal torsions of the spermatic cord. These cases are reviewed with regard to optimal therapeutic approaches for the treatment of both the affected gonad as well as the contralateral one, and whether the event occurred prenatally or postnatally. The authors also propose several clinical indications useful for obstetricians, pediatricians, urologists and nurses.