However, in the acute setting, differentiating testicular torsion from . Klinik der Hydatidentorsion. Schmerzen, Ödem des Skrotums. Manchmal kann die hämorrhagisch infarzierte Appendix testis bläulich durch die Haut schimmern ( blue dot sign ). Looking for online definition of blue dot sign in the Medical Dictionary?
Meaning of blue dot sign medical term.
What does blue dot sign mean? This boy has an unusual, but significant physical finding: the blue dot sign. The blue to purple discoloration seen in the picture on the left is caused by a torsed and ischemic appendix testis or appendix epididymis. The blue dot sign is most easily visible within the first few hours following the torsion and it is more easily seen . Die klinischen Zeichen sind ähnlich wie bei einer Hodentorsion.
Der Hoden ist stark druckschmerzhaft. Charakteristisch ist das „ blue - dot – sign “: Hierbei schimmert die stielgedrehte blutig veränderte Hydatide bläulich durch die Skrotalhaut. Eine operative Freilegung und Entfernung ist meist erforderlich.
The classification and regression tree analysis showed that the presence of dysuria, a positive blue dot sign , and a painful epididymis are the best factors for distinguishing AT and epididymitis. CONCLUSION: Most children with an acute scrotum will have AT or epididymitis. It will be possible to differentiate . At presentation it is common for patients to have tenderness, edema and erythema. When these signs are absent an urologist should not delay further assessment or surgical exploration. The finding of an ipsilateral absent cremasteric reflex is the most accurate sign of testicular torsion.
Torsion of the appendix testis is more common in children than testicular torsion and may be diagnosed by the “ blue dot sign ” (i.e., tender nodule with blue discoloration on the upper pole of the testis). Palpation reveals a small firm nodule on the upper portion of the testis which displays a characteristic blue dot sign. This is the appendix of the testis which has become discolored and is noticeably blue through the skin.
Unlike other torsions, however, the cremasteric reflex is still active. Typical treatment involves the use of . Yet the diagnosis and treatment in many centers lag behind the information reported in the scienti$c literature. Most often only a postoperative diagnosis of torsed appendage is made. The “ blue dot sign ” is an aid to . This page has been accessed times.
Torsed appendage ranks second in causes of acute scrotal swelling in children. En dehors du blue dot sign , l'examen de l'hydati. Blue dot sign - Définition.
Classically, in the acute stages this is associated with the “ blue - dot sign ” when the inflamed and ischemic appendages can be seen as a subtle blue-colored mass through the scrotal skin (Fig. 9). In later stages, this may be accompanied by presence of a thickened scrotal wall, a reactive hydrocele, and enlargement of . The scrotum should be observed for a “ bluedot sign ,” an aid to diagnosis of a torsed or necrotic appendage of the testis. The blue - dot sign is a blue to purple discoloration of the scrotum caused by a torsed and ischemic appendix testis or appendix epididymis. Michael Casey: BLUE DOT SIGN.
On palpation local temperature was raise skin was tender, and testis was not palpable separately. Left side scrotum and testis were normal. On investigation hemoglobin was 12.
Ultrasound can be helpful in making the diagnosis.
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