TWIST SCORE
Dr. Tejasvi Kumar
TWIST SCORE
TWIST SCORE.....Testicular Workup for Ischemia & Suspected Torsion.
Parameters
1..Testicular Swelling ..2 points
2.Hard testis................2 points
3. Absent Cremaster reflex..1 point
4.Nausea /Vomiting............1 point
5.High riding Testis.............1 point
This score was evaluated by Non Urologists, RMO, EMT gps
classified into following....
Low risk..score ..0.....No U/S needed.
Intermediate risk..score..0 to 5....U/S needed
High Risk....Score.6 or more...sure of torsion
Patients with severe sudden pain r more likely
This score becomes more sensitive when torsion is of few hours duration.

These points r significant for young surgeons, At midnight when CD facilities r not available in bigger setups too.
Post is taken from The Journal of Urology June 2016.

Source : Dr. GIRIJADUTT SHARMA.,OHIO
Dr. I●●●●●●●A R●●●Y P●●●●A and 4 others like this
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