What Is the Most Likely Diagnosis for This Urologic Emergency?

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

---

You can find other episodes of The Rosh Reveal podcast here.

Remember to subscribe to the podcast and leave us feedback!

Apple podcasts

Android

Google podcasts

---

For more great Rosh Review content, including thousands of more questions, explanations, and custom teaching images, visit any of the pages below:

PA: Didactics, Rotation Exams, PANCE, PANRE

Nurse Practitioner: Certification Exam, ENP Certification Exam, AGACNP Certification Exam, AGPCNP Certification Exam, CPNP-PC Certification Exam, PMHNP Certification Exam

Nursing: Certified Emergency Nurse (CEN) Certification Exam

Emergency Medicine: In-Training Exam, Certification Exam, ConCert

Family Medicine: In-Training Exam, Certification Exam

Pediatrics: In-Training Exam, Certification Exam

OB/GYN: In-Training Exam, Certification Exam

Internal Medicine: In-Training Exam, Certification Exam

Psychiatry: In-Training Exam, Certification Exam