Monday, February 25, 2008

VizD Challenge Week of 2/25/08

A 5-year-old boy presents to your ED with the problem seen in the image below. He states that it is painful.

(click on image to enlarge)

Questions:
1. What is the diagnosis?
2. How do you treat this condition


Winner receives $10!

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VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.

6 comments:

prnpenguin said...

1. What is the diagnosis?

Is it paraphimosis?

2. How do you treat this condition?

If it was paraphimosis then:
1) attempt manual reduction of the foreskin back over the glans;
2) if unsuccessful, possibly perform aspiration of the glans; or
3) perform a dorsal slit +/- curcumcision.

sherry said...

paraphimosis...The treatment of paraphimosis involves reducing the penile edema and restoring the prepuce to its original position

ArkieRN said...

Paraphimosis
1. Manual reduction (may require reduction of sweling first)

2. Surgery (circumcision or slitting the foreskin)

Rune said...

a. Parahimosis b. Manipulation (if needed using a sedative) with or without lubrication to reduce the preputium, if unsuccessfull surgery (preputioplasty/circumsision) in the acute phase. If successfull consider surgery later.

Cali_Ally said...

Diagnosis: Paraphimosis

Treatment:
Reduction of edema through cold packs, compression, medication, and then manual reduction of the foreskin. If all else fails, circumcision is warranted.

Anonymous said...

1. paraphimosis
2. retract foreskin

Lance
www.kempt.com