MBBS OSCE · General Surgery / Urology
OSCE — acute scrotum: diagnose and escalate torsion
Focused scrotal examination, cremasteric reflex, time-critical escalation, and consent for exploration with bilateral fixation.
8 min stationVerification in progress
On this page
Study tools
Exam tags
NEET-PGINICETPLAB
Brief (to candidate)
A 15-year-old boy has 3 hours of sudden left scrotal pain and vomiting. Examine, give your diagnosis, and outline management including operative counselling.
Candidate instructions
- Chaperone, privacy, explain.
- Inspect lie/height/colour; cremasteric reflex; gentle palpation; urinalysis.
- State torsion until proven otherwise.
- NBM, analgesia, immediate surgical exploration — do not wait for Doppler.
- Consent: orchidopexy both sides if viable; orchidectomy if non-viable.
Examiner checklist
| Domain | Expected |
|---|---|
| Exam | Sensitive technique; compares sides |
| Diagnosis | Torsion; knows 6-hour window |
| Pathway | No imaging delay |
| Consent | Contralateral fixation explained |
| Differentials | Epididymo-orchitis, hydatid |
Common errors
- Ordering US that delays theatre.
- Forgetting contralateral fixation.
- Relying on Prehn sign.