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> I wonder why this is not uniformally practiced? Our sonologists tell me that the newer US machines are much better at detecting subtle changes in blood flow or is it a training issue?... if clinical suspicion is high, exploration is still the best strategy!
--> Have you not answered your own question there?
We don't really do ultrasound for suspected testicular torsion. You have to ask yourself what is a "high" suspicion, or, more to the point, what is NOT high? In other words, how many false negatives are you prepared to defend? Does US, even with "newer" machines and great training actually RULE OUT torsion?
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