Surgery & perioperative · History + examination

Explaining testicular torsion - Emergency Department

MediumYear 5 · Curtin style · 15 min + 2 min reading · 4 tasks

2 min reading · 15 min station · reminders at 2 min

Station - Instructions for candidate

You are an intern in the Emergency Department at Fiona Stanley Hospital.

Jayden Nikolaidis is a 17-year-old apprentice electrician who has self-presented to the Emergency Department four hours after being woken at 4 am by sudden severe left scrotal pain with two episodes of vomiting. He reports mild stinging when passing urine.

Your tasks are to:

  1. Take a focused history.
  2. Perform a focused examination.
  3. Request any relevant investigations and interpret the results provided.
  4. Explain the diagnosis and your management plan to the patient.
  • You do NOT need to summarise your findings to the examiner.
  • Please verbalise your examination to the examiner; findings will be provided on request.
  • You do not need to write medication orders or operative consent forms.

This is a 15-minute station, with 2 minutes of reading time.

Ask the examiner

Say what you would examine or request, the way you would in the station. Nothing is named until you ask for it.

Whatever the examiner recognises is revealed below. Or pick a numbered item to reveal it blind.

Investigations

Ask for a category the way you would in the station: “Can I have the obs and a set of bloods?”

Examination

Say what you would examine and how; the examiner reports what you would find.