The Rosh Reveal: EPISODE 23

What Is the Most Likely Diagnosis for This Urologic Emergency?

December 8, 2019
Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let’s get started.

An 18-year-old presents to the emergency department with severe pain in his penis. He indicates he has had some mild irritation to the glans and foreskin areas recently. After intercourse tonight he was unable to reduce the foreskin and now has severe pain in the tip of his penis. On examination, the penis is flaccid and the foreskin is retracted proximally. There is swelling to the tip of the penis with mild erythema. What is the most likely diagnosis?

A) Paraphimosis

B) Penile fracture

C) Phimosis

D) Priapism

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By Adam Rosh

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