A patient with long standing renal insufficiency develops mild generalised ecchymoses

Discussion in 'Plab 1 and 2 forum' started by Neha Gupta, Jun 22, 2013.

  1. Neha Gupta

    Neha Gupta Active Member

    A patient with long standing renal insufficiency develops mild generalised ecchymoses. Platelet dysfunction is suspected despite a normal platelet count. Which test would be most useful in this patient?

    a) bone marrow aspirate

    b) Clot retraction

    c) Tourniquet test

    d) Bleeding time

    e) Prothrombin time (PT)
  2. Neha Gupta

    Neha Gupta Active Member

    The condition described is Torsion of the Appendices of testis/ Epididymis. The typical presentation is of acute testicular pain but on examination cremesteric reflex is intact and erythematous area or nodule is limited to upper pole of testis.

    Pain usually resolves within 1 week but may persist for several weeks.

    NSAIDs and ice are the mainstays of therapy for inflammation.
    Reduced activity and scrotal support are indicated.
    Provide symptom relief.
    Uncontrolled pain can be relieved by surgical excision of the appendix.

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