1. What signs or symptoms make the diagnosis of ovarian torsion more likely? What factors in the patient’s history should make you more suspicious for torsion? How useful is the bi-manual exam?
2. Time is ovary? If a patient presents to the ED 24 hours after the onset of pain, is the ovary salvageable?
3. What imaging modalities do you use to diagnose ovarian torsion? How good are these studies?
4. Do you consider torsion if imaging reveals a normal ovary? In which patients do you worry about torsion of an otherwise normal ovary? When do you insist on this diagnosis with your OB-Gyn colleagues?