What initial investigations are warranted

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1. A 23-year old man presents in the emergency clinic in severe distress. His left testicle is large and tender and he has pain radiating to the inguinal area. 

a. What would be a tentative diagnosis for this man?

b. Why would this problem necessitate immediate diagnosis and surgical intervention? 

2. A 72-year-old man has a radical prostatectomy for localized prostate cancer. After surgery his PSA level was undetectable. He presents 5 years later having been "lost to follow up." He complains of pain in his hip and lower back. His PSA level is now markedly elevated. 

a. What initial investigations are warranted? 

b. What therapies are available for this complication?

Reference no: EM132412731

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