Rohan Khandelwal sir why not Scrotal USG in case of suspected testicular torsion?
Doppler is not needed here
Best step is asked
pain is unbearable…bcz of torsion.
So without wasting time , open the scrotum and fix it…otherwise necrosis will occur.
They asked what is the next best step…even if not doppler,atleast manual detorsion should be tried to relieve.
Manual detorsion can be done even while prepping for exploration.
If they had asked,what is the definitive step of management,then it could have been surgical exploration.