{"id":5494,"date":"2011-07-14T20:26:57","date_gmt":"2011-07-14T20:26:57","guid":{"rendered":"http:\/\/crashtext.org\/misc\/acute-scrotum.htm\/"},"modified":"2011-10-02T22:02:11","modified_gmt":"2011-10-02T22:02:11","slug":"acute-scrotum","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/medical-surgical\/acute-scrotum.htm\/","title":{"rendered":"Acute Scrotum"},"content":{"rendered":"
\t\t \t\t \t\t \t\t\u00a0 \t\t \t\t \t\t \t <\/p>\n
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Acute Scrotum <\/p>\n
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Testicular artery supplies the testicle<\/p>\n
low impedance flow (high diastolic pressures)<\/p>\n
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Cremasteric and deferential arteries supply the extra-testicular structures<\/p>\n
high impedance flow (low diastolic flow)<\/p>\n
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use 7-10 mhz linear array<\/p>\n
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use frog leg posture with all but the testes covered<\/p>\n
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Two Questions<\/p>\n
1. Is there intra-testicular flow<\/p>\n
2. Is the echo texture of each testicle homogenous & organized or heterogeneous & disorganized (and is it the same as the other)<\/p>\n
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Visualize each testicle in transverse and longitudinal<\/p>\n
Best to use spectral on both arterial and venous flow<\/p>\n
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when in transverse, you can see both testicles simultaneously<\/p>\n
echogenicity normally looks like the liver<\/p>\n
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Normal flow will just consist of little dots<\/p>\n
\u00a0<\/p>\n
early torsion will have normal arterial flow and echogenicity, but venous flow will be absent.<\/p>\n
\u00a0<\/p>\n
late will have edema, so larger with increase echogenicity no flow in testicle at all<\/p>\n
\u00a0<\/p>\n
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\u00a0\u00a0\u00a0 |\u00a0\u00a0 \u00a0\u00a0 |\u00a0\u00a0 \u00a0\u00a0 |\u00a0\u00a0 <\/p>\n","protected":false},"excerpt":{"rendered":"
Array<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[8],"tags":[],"yoast_head":"\n