Background: Scorpion envenomation is a common medical emergency. The main aim is to study clinical profile, management and outcome.Methods: Prospective observational study of Scorpion envenomation cases for six months. case sheets were analysed for clinical profile, symptoms, complications, management and outcome.Results: During the study period first 50 cases were admitted and treated for the following results 66% were males and 34% were females, 46% were upper extremity and 54% were lower extremity. common clinical symptoms are pain at site, autonomic storm, palpitation, headaches, abdominal pain, altered sensorium, vomiting. 40% of patients received prazosin with 1-2 hrs. the major complications were myocarditis, encephalopathy, Peripheral circulatory failure & congestive cardiac failure. There was no mortality in this study.Conclusions: The study finding shows that early and effective use of prazosin treatment showed good outcome in patients. Less complications were seen in patients those who received the first aid. This study concludes that majority of patient were exposed to complication due to shortfall in education, awareness and pre-hospitalization. We, as a clinical pharmacist, tried to create awareness and provide education to health care workers in all primary health care center through distributing pamphlets to general public in and around hospital.

BACKGROUND Many acute scrotal conditions can present in similar way, Testicular torsion is a true surgical emergency because, the likelihood of testicular salvage decreases, as the duration of torsion increases. Other conditions that present in similar way to testicular torsion include, torsion of appendix testis, epididymo-orchitis, trauma to testis, haematocele, strangulated inguinal hernia. METHODS This is a prospective study conducted at SVRRGGH, Tirupati for a period of 12 months and 100 patients satisfying the inclusion criteria were included in the study. RESULTS In present study, the most common condition is epididymo-orchitis (35%) followed by Fournier's gangrene (30%), pyocele (16%), haematoma (10%), torsion (8%) and scrotal wall abscess (1%). Doppler vascularity was absent in all case of torsion (100%) and increased in all cases of epididymo-orchitis (100%). All cases of epididymo-orchitis were treated conservatively. All cases of Fournier's gangrene underwent debridement. 8 cases of pyocele underwent unilateral orchidectomy and 8 cases were treated by incision and drainage. 8 cases of hematoma were treated by exploration and evacuation and 2 cases were treated by orchidectomy. 6 cases of testicular torsion underwent unilateral orchidectomy and contralateral orchidopexy. 2 cases underwent bilateral orchidopexy. Scrotal wall abscess was treated by incision and drainage. CONCLUSIONS The most common cause of acute scrotum was epididymo-orchitis. Early exploration is the gold standard treatment for torsion.