Scenario
A 26 year old man presents with a 24 hour history of a painful penis. There is no history of trauma.
Question
a. Describe and interpret the photograph. (30%) b. Outline your management of this man. (70%)
Answer
FACEM VAQ Exam 20095.2 – Question 3
- The overall pass rate for this question was 42/56 (75%).
- The clinical photograph shows a grossly oedematous foreskin suggesting a parphimosis.
- A high level of knowledge was expected in answers to this question as the diagnosis of paraphimosis should have been clear from the image.
- It was expected that candidates would be able to describe systematically how they would attempt reduction by manual compression preceded by appropriate analgesia or local anaesthesia.
- It was not adequate to simply refer for surgical management.
ACEM Fellowship Visual Aid Questions
About Mike Cadogan
