AM VaultPractice questions › Adult health: surgery › Scrotal emergencies
Scrotal emergencies
A practice question in the style of the AMC Part 1 MCQ exam. Choose your answer to see the explanation.
A 58-year-old man with poorly controlled diabetes has 1 day of severe perineal pain and scrotal swelling. The skin is dusky with crepitus. He is febrile and his blood pressure is 90/50 mmHg. What is the most appropriate management?
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The answer is C: IV antibiotics and emergency surgical debridement.
This is Fournier's gangrene, a necrotising fasciitis that needs urgent surgery as well as antibiotics.
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