ACR Appropriateness Criteria ® acute onset of scrotal pain--without trauma, without antecedent mass.

نویسندگان

  • Erick M Remer
  • David D Casalino
  • Ronald S Arellano
  • Jay T Bishoff
  • Courtney A Coursey
  • Manjiri Dighe
  • Pat Fulgham
  • Gary M Israel
  • Elizabeth Lazarus
  • John R Leyendecker
  • Massoud Majd
  • Paul Nikolaidis
  • Nicholas Papanicolaou
  • Srinivasa Prasad
  • Parvati Ramchandani
  • Sheila Sheth
  • Raghunandan Vikram
  • Boaz Karmazyn
چکیده

Men or boys, who present with acute scrotal pain without prior trauma or a known mass, most commonly suffer from torsion of the spermatic cord; epididymitis or epididymoorchitis; or torsion of the testicular appendages. Less common causes of pain include a strangulated hernia, segmental testicular infarction, or a previously undiagnosed testicular tumor. Ultrasound is the study of choice to distinguish these disorders; it has supplanted Tc-99 m scrotal scintigraphy for the diagnosis of spermatic cord torsion. MRI should be used in a problem solving role if the ultrasound examination is inconclusive. The ACR Appropriateness Criteria ® are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

American College of Radiology

ACR Appropriateness Criteria 1 Acute Onset Flank Pain — Suspicion of Stone Disease American College of Radiology ACR Appropriateness Criteria Clinical Condition: Acute Onset Flank Pain — Suspicion of Stone Disease Variant 1: Suspicion of stone disease. Radiologic Procedure Rating Comments RRL* CT abdomen and pelvis without contrast 8 Reduced-dose techniques preferred. ☢☢☢☢ US kidneys and bladde...

متن کامل

American College of Radiology Acr Appropriateness Criteria ® Clinical Condition: Rib Fractures Variant 1: Adult. Suspected Rib Fractures from Minor Blunt Trauma (injury Confined to Ribs). Radiologic Procedure Rating Comments Rrl*

ACR Appropriateness Criteria 1 Rib Fractures American College of Radiology ACR Appropriateness Criteria Clinical Condition: Rib Fractures Variant 1: Adult. Suspected rib fractures from minor blunt trauma (injury confined to ribs). Radiologic Procedure Rating Comments RRL* X-ray chest 8 Obtain PA view. ☢ X-ray rib views 5 ☢ ☢ ☢ CT chest without contrast 3 ☢ ☢ ☢ Tc-99m bone scan whole body 2 ☢ ☢ ...

متن کامل

US in the assessment of acute scrotum

BACKGROUND The acute scrotum is a medical emergency . The acute scrotum is defined as scrotal pain, swelling, and redness of acute onset. Scrotal abnormalities can be divided into three groups , which are extra-testicular lesion, intra-testicular lesion and trauma. This is a retrospective analysis of 164 ultrasound examination performed in patient arriving in the emergency room for scrotal pain...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Ultrasound quarterly

دوره 28 1  شماره 

صفحات  -

تاریخ انتشار 2012