Name: What is torsion?
Uploaded: 2021-12-15T07:00:00-0500
Duration: 880472
Description: UNC School of Medicine Dr. Sherry Ross explains what testicular torsion is and how it differs from appendage torsion.

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UNC School of Medicine Dr. Sherry Ross explains what testicular torsion is and how it differs from appendage torsion. 

So I'm here with Sherry ross. Um you are a pediatric urologist and I didn't realize they had pediatric urologist. Um they, which is wonderful because you need them. Um and we're gonna talk a little bit about testicular issues because these are things that pop up. I feel like when you have a son, um sometimes things just pop up and you don't really necessarily know what's going on. They might be complaining of pain like in their leg or their groin. And it's it's kind of one of those things where things can occur. So take it away Sherry, you got a presentation for me, which I love. Okay, so we're gonna talk a little bit about testicular pain and thank you Cathy for allowing me to talk about this because as you said, it is a very important important topic and one um that as a urologist just in general we want the public to be aware of. So, so I'm gonna start out talking a little bit about the anatomy of the testicle. You can see here this dark pink area is actually the testicle and the gray area is an organ called the epidemic thomas. And the light pink color muhanned is a continuation of the epidemics which eventually becomes the vast deference and basically sperm develop in the testicle. They then migrate to the epidemic thomas where they mature. And then upon ejaculation they go through the tail of the epidemics and through the vast deference out into the ejaculate, interestingly. There are appendages that are associated with the testicle as well as the epidemic. Emus. Um you can see the appendix testis which is the little pink um piece of tissue hanging off the tests and that is actually a remnant of what we call the malaria in duck. The malaria in Duck would have been female structures had the boy been a female instead of a male. And then the other is the appendix epidemic thomas which is a remnant of the wolfy end up which is the duck that actually forms the internal mail structures. And you can see that there are multiple other potential appendages, all of which unfortunately can twist um and wreak havoc. So we're gonna talk a little bit about that. Oh yeah, we're talking about some twisting going on because this is type of stuff that happens. Um It can be very terrifying, very painful. Um It has affected my family and it's something that you know, it really can be traumatic and frightening when you don't know what's going on or you don't know what's happening. So let's look at this appendage, I didn't even know this thing existed. This appendage thing uh those, those little things are all over down there and can really wreak havoc. Um We don't really understand why the the testicular appendage twist but it definitely the testicular appendage, the appendix epidemic. Any of those appendages can twist. Usually we see this in pre puberty, all males. Um it can be either sudden or gradual onset of testicular pain which can be quite severe um When it occurs generally speaking, the pain is typically located in the upper part of the testicle, which makes sense because that's where the testicular appendage exists. Generally speaking, there's pain but no nausea and vomiting. Um They can often have swelling redness. We refer to a physical exam finding called a blue dot sign. These little appendages when they twist they macros and become purple. And in boys with very thin scrotal skin oftentimes it looks like a little blue dot down in the scrotum. Generally speaking, we treat this very conservatively with ibuprofen rest scrotal elevation, elevation, there's no potential loss of the testicle, but it can be quite scary. Um And that is in contrast to torch version of the testicle, which is a very, very important thing to note early. And we're gonna talk a little bit about that. So Torgyan of the testicle is when the entire um chord of the testicle twist. So you can see here we have the testicle, the epidemic thomas. And then you can see the red and blue that represents the artery and the vein that exists within this what we refer to as this chromatic chord. Um And when this occurs, we generally speaking, see this in peri or post puberty. All males. We can see this in infants. Oftentimes we see Children that are born with swelling and discoloration of the scrotum but generally speaking, uh this type of torgyan is then on peri and post puberty in males is the sudden onset of severe testicular pain. Pain is located throughout the entire testicle. Unlike the appendage where it's just located at the top of the testicle, often associated with nausea and vomiting. And in fact, if we have a child with nausea, vomiting and testicular pain, we consider that a testicular tourism until proven otherwise and will often times take that child straight to the operating room. The schematic cord is very much like a rubber band and as you twist a rubber band, the rubber band will get shorter. And we see that with testicular torsion as the schematic cord twist, it pulls the testicle up out of the lower aspect of the scrotum. And then you can see the testicle instead of sitting in its normal vertical position, will often be in a horizontal position. So we refer to that as a high riding testicle with a horizontal lot. There's um there can be swelling again, severe pain, There can be redness. Generally speaking, the redness occurs if it's been prolonged a prolonged period of time. You may not see that immediately. This is a urological emergency. Uh These Children. Um and young men need to be seen immediately. Treatment is often emergent surgical intervention and there is potential loss of the testicle. Now one is tori version of the appendage or torsion of the testicle occur. Well, as I said earlier, we're not really sure why the testicular appendage twist, I will tell you as a pediatric urologist who operates on testicles quite frequently. Often the appendage can be very long. Um and so there may be some association with the length of the the appendage, but we really don't know for sure in Tarzan of the infant. Um that is because there is a structure at the lower part of the testicle called the gubernatorial. Um and an infant, sometimes the gubernatorial um is not attached appropriately. And we believe that plays a role in peri and post puberty males. However, the testicular torsion is associated with what we call a bell clapper deformity. So if you look at the this schematic over to the right, you'll see this purple um lining that represents what we refer to as the tunic. Imagine Alice. And that structure is supposed to attach the testicle basically to the inner aspect of the skin. And if you look over to the right, you'll see that in the testicle that tours the tunica vaginal is actually inserts very high on the schematic cord and therefore doesn't hold the testicle in place. And so the testicle hangs much like a clapper on the inside of a bill. And so without that security that allows the testicle to twist and we think that as males develop and the testicles grow and the weight of the testicle increases, this may increase the risk of testicular portion and while we see it in this age group. So in in general testicular pain especially if it's severe is an emergency irregardless of age, All of these um references to age and um are really just in general, we always take testicular pain very seriously. Um If there is a appendage, torgyan, there's no impact to fertility. No risk of loss of the testicle, Testicular torsion. As I just said, it's a very different animal. Um testicular pain plus knowledge and vomiting equals testicular torsion and that those signs together or 98% specific for testicular torsion. So we take that very seriously. Um interestingly if the if a man our boy has testicular torsion, They have a bell clapper deformity. There's an 85% chance of a bell clapper deformity in the other testicle. So we surgically treat both testicles um to prevent tourism in the contra lateral testicles. Um there is risk of testicular injury or loss. And so time is of the essence. Generally speaking, if we can get to the testicle in four hours or less, we can save it. Um but after four hours the testicle doesn't begin to die in the crows. And so at 24 hours very rarely can we do anything to save the testicle in terms of fertility. There's no loss of the ability to father Children if one testicle is preserved. However, in neurology we do like to save both testicles if possible. So kind of in conclusion, if your son experiences testicular pain, please seek emergency medical evaluation either in the emergency room or with your doctor. Please don't give them anything to eat or drink. They may need surgery. Drive safely but go immediately. Exactly exactly go immediately. Um You know you said it can occur you know at any age we can they can experience any type of discomfort or pain at any age. Um And to always get that checked out. You know our experiences um were relatively young. Um And we knew nothing about testicular torsion in any way shape or form. Um We my son presented with pain in his leg. He kept saying he had pain in his upper like like thigh. Um And nothing was nothing was wrong. Nothing looked wrong. And within a couple hours we were at the pediatrician's office and she took a look and said I need you to go to the hospital right now I need you to tell them it could be towards him, I need you to tell them that immediately, they will take him in. It could be an emergency surgery. Um And you know whenever they have something like that they do take you in right away they do take a look in our case the ultrasound, everything was okay. We were dealing with an appendage issue. Um Now my question with appendage is you said there were there were appendages is it when you have it on one side and you've had it on the other side is it can you still have another appendage twist, you could, it depends on how many appendages are present. Generally speaking, we unlike um testicular torsion and the presence of the bell clapper deformity where there's an increased risk to the other testicle. Um We we don't really have that information for the testicular appendage. Um I have seen many Children have twisting of the appendage just on one side and never have any problems on the other side. And there have been a few rare cases. However, where we had what we call bilateral, bilateral portion of the testicular appendage very rarely doesn't happen at the same time. It generally in general is like your situation where it happens and then it happens again later, which can be scary. I'm sure as a mom, as a mom it can be, I mean it can happen as young as you know, five or six, you know, with with something like this. Um Yeah, we did have it twice and um it's a thing where it's very, very terrifying. But time is always of the essence and I tell anyone who has a parent is a parent of a boy, if they tell you any type of discomfort is going on in their groin or anything going on even with the leg, get it checked out. Make sure that doctors checking to make sure, you know, there's nothing going on testicular because you don't want to be caught off guard with having to rush to the hospital. Um You know, when you're just going for a routine appointment or if it's, you know, in our case, we, my son did not complain of just pain in one area. It was really just like all over it was, he really couldn't, it was it was generalized, kind of went everywhere. So it was like one of the things we're trying to figure out what it was. Um So many different things to just no go in and get seen, just go in and get seen, make sure everything's okay. Um I had a doctor literally standing in, the surgeon had come down and was standing in the ultrasound room while the ultrasound was done waiting like, okay, do we need to do this? Um And it was no, we don't. It was okay, wonderful. But let's take a look at that, make sure you see a pediatric urologist and they were able to really explain to us a little bit more about these things and I had no idea these appendages existed. You know, I was like, what? And I said, well, let's do a story on this, Let's talk about this because it's something that I feel like I wouldn't know my husband didn't know all of us, kind of, we sat there and like, okay, now we know, yes, and it's very important for all for all moms who have ways to know about the potential for testicular Georgian and luckily most of the time and younger Children, it does end up being the appendage, but there's other causes of testicular pain. There can be hernias, there can be infection or inflammation. And in all of those cases, those are all um diseases or abnormalities that need to be investigated by by their either their primary care physician or their pediatric urologist. Um so, but if you see swelling, if you see swelling and there's pain, you got to go see somebody because it could be something could be tortured, or it could be something else serious if you speak out with what is exactly. Right. Thank thank you so much. Uh dr ross for like explaining all of this stuff to us. We'll have more information, of course, on wrl dot com. For people to follow up and just, you know, make sure always take care of your health and your Children's health. Thank you. Thank you.

Kathy Hanrahan

What is torsion?

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Gov. Roy Cooper, museum leaders and museum paleontologist Dr. Lindsay Zanno on Thursday preview Dueling Dinosaurs, a brand new exhibit at the North Carolina Museum of Natural Sciences. The exhibit opens to the public Saturday.

In that institution's history. But all of you can and I have seen that enthusiasm and that understanding that you are part of something special over the past few years as you have prepared for this day. So to the staff of the museum, thank you. And it's not just staff, a project like this wouldn't have been possible without a lot of important partners on behalf of everyone involved in this immensely successful public private partnership. And in addition to the General Assembly's extraordinary investment, I would like to take a moment to thank some of the very generous supporters of the Dueling Dinosaurs capital campaign, the SECU Foundation, the Bank of America Duke Energy, the North Carolina Glaxo Smith Kline Foundation, Wake County, friends of the North Carolina Museum of Natural Sciences who really not only helped us in, in raising the funds but also in making this day happen and this opportunity happen. And so many others who are recognized on the campaign do donor wall just to the right of the exhibit entrance. So I encourage you as you go through there today to make sure you take a look at that wall. Now, along with the state's investment. This village of support has enabled the museum to open this new globally unique visitor experience. And on that note, I would like to invite Secu Foundation board chair, Chris Ayers to speak to the foundation's leadership gift, Chris. Thank you. Well, good morning fellow paleontologists. Um I'm excited to be here today representing the SECU Foundation and the over 2.7 million members of state employees credit union who fund that foundation. So this is a great day of celebration for the State of North Carolina, the Department of Cultural and Natural Resources and the many museum supporters and friends who have joined together to make this day a reality. I can tell you the foundation, the State Employees Credit Union has been looking forward to this day for a long time, going all the way back to when we got a sneak peek when they first rolled these fossils into the museum uh a number of years ago. So today's ribbon cutting ceremony shines a brilliant light on the North Carolina Museum of Natural Sciences as a research institution and the largest museum in the southeast of its kind. The work of the museum professionals and the world class facility benefits more than 1 million visitors each year. And we're delighted to help fund the Secu Dino Lab, which will be enjoyed by students, teachers and families from across the state and beyond. In addition to the SECU Diner lab, the foundation support of the museum also includes the large icon globe that we're in right now that you see outside the building, uh The SECU Daily Planet. As longtime supporters of the museum SECU is pleased that our collaborative efforts help bring the museum and our state to the forefront of natural sciences, education and research, innovative initiatives like this can only be achieved through incredible teamwork and support from the community if it isn't obvious. Let me say that we are so happy to be part of this team and we feel really lucky to have our SECU headquarters and our Sal Salisbury Street branch right next door where we get to see the daily droves of visitors year round. SECU is built on the principle of people helping people and our members live that philosophy through our support of nonprofits that uplift people and communities throughout our great state. For those of you who may not know the SECU foundation is funded through a unique concept known as the power of a dollar where SECU members contribute through the reallocation of their $1 monthly checking account fee. Collectively a dollar truly can make a profound difference. As you see here today, this summer marks the foundation's 20th anniversary. And over the past 20 years, our foundation's commitment to North Carolina nonprofits has surpassed a quarter of a billion dollars for scholarships, grants, financing for education, housing, health care, human services, all benefits to our great state. And we're going to celebrate that 20th anniversary. This fall dueling Dinosaurs is history in the making right here in downtown Raleigh. And we're so lucky to have a front row seat to marvel at the Scientific Discovery and the World of Paleontology. We at the SECU Foundation are honored to be part of this and I want to thank everyone for the great work and contributions that so many of you have made to make this day in this exhibit a reality. Thank you, Chris. Now I mentioned earlier about our staff and they really are all superstars, but there is one particular staff member who has as this project has developed over the recent years, kind of reached celebrity status. If you read Walter magazine, you probably read a profile of her and her work and how that has contributed to uh this particular exhibit. I'm pleased to introduce that person to you this morning. None other than uh the individual who had the vision to make this happen. Doctor Lindsay Zano, head of Paleontology here at the museum, Doctor Doctor Zano. Good morning. It's wonderful to be hosting you all this morning. You know, every week I get an email from a parent who wants their child to meet and talk to a scientist every single week. They want to fuel that child's love for science, encourage them to pursue their dreams. But more than anything they want that science to be real, they want it to be accessible, meeting those Children is wonderful. It's also not enough because not every parent has the resources of the opportunities to reach out to a scientist and arrange a one on one meeting for their child. Most of the Children who are interested in science will fall through the cracks and every public event I attend, I have a conversation with someone in our community who doesn't see the relevance of science to their daily lives who's never been invited to peek behind the proverbial curtain to see who scientists are and what we do and how we go about solving problems that are relevant to our communities. Today, we mark the next step in the evolution of the North Carolina Museum of Natural Sciences. We celebrate the opening of the dueling dinosaurs experience. This is one of the most daring public science projects ever imagined at its heart is a world class specimen and the barrier breaking sccu Dino lab that houses it. The specimen represents a single moment in time 67 million years ago when behemoths like tyrannosaurs and triceratops battled for life. The lab is a place where there are no walls between the scientists and the communities that we serve. One where the term behind the scenes loses all of its meaning. A place where every kid regardless of their socioeconomical status can talk to a scientist every day, any day, a place where they can look in the face of a scientist and see themselves staring back at them a place where science is done for the public with the public and transparently in front of the public and for those that cannot make it to us on site, we're broadcasting this project all over the world. Now, the dueling dinosaurs experience is fueled by an amazing team of scientists who I'm so proud of. And in the past two years, we've grown from 6 to 14,000. And that's because a year and a half ago, we launched our public science project Cretaceous Creatures. And already over 14,000 middle school students from around the state have made once in a lifetime scientific discoveries as real members of our scientific team. And we are just getting started. I want to close this morning by thanking the state all of our incredible donors, my amazing museum colleagues, and especially my team for believing in this project, for believing in my vision. I want to thank them for tirelessly working for eight years to bring this project to the people of North Carolina and beyond. You are all dreamers and I could not be more honored to be on this journey with you. One thing we can all agree on is the world loves dinosaurs. So today we're going to bring the next generation of leaders in science and technology and engineering and innovation and have them born right here in North Carolina. Let's show the world how it's done. Thank you. Make sure I didn't mess up the screen and dropping that. Um Thank you, Doctor Zano and I don't know what the acoustics are back there. But standing up here as you were talking about Children in that next generation from up here, you could hear all the Children up there in nature Research Center visiting the labs and it just kind of brought to life. What you're talking about this experience will mean it's now my pleasure to introduce to you, my boss, uh Secretary Reed Wilson. Now I can tell you, Secretary Wilson, this is a special project. He does a lot of openings, ribbon cuttings for our sites all across the state, state parks aquariums and not to play favorites. But I know this one ha holds a special place in his heart. He was telling someone this morning that he's been working on this project for seven years and so Secretary Wilson, I'm pleased to introduce you and we finally got here. Thank you, Jeff. Good morning, everybody. Uh Thank you all for being here this morning and to all involved. Uh Congratulations. This is an amazing huge day for North Carolina and for this museum, you know, making doing dinosaurs a reality has been a collective effort. And I want to thank some people that have already been thanked, but you can never thank these people enough. First, our sponsors, we would not be here today without your generous support. No doubt about that. I also want to thank the board and the staff of the friends of the Museum of Natural Sciences and three of the four board presidents who have been presidents during this period are here with us today. Um, but the whole board has been invested in this and not only did you all raise significant sums of money, but you tiptoed way out on that branch of risk. I remember the conversations. Well, we really sure we wanna do this. Uh But you were, you made the decision to, to just dive in um because you kept your eyes on the prize and, and understood what the risk was, but all that risk went away. Uh I wanna thank the museum staff. Um Thank you so much. I know that every section of this museum has been involved with this. And I, I dare say that there isn't anyone on the staff of this museum who wasn't involved in this project at some point. Um And obviously to Doctor Zano and your paleontology team. Um Y'all are just amazing. You're brilliant. All of you. Um Javin Sutton and your ex exhibition team, Christy Flint and your education team. I mean, I could mention everybody in this museum, everyone's been involved. It's been a long process and you've done a phenomenal job because here we are today and of course, we wouldn't be here without substantial public support. Thank you to members of the General Assembly um who prioritized the investment in this state of the art lab in particular. I do want to thank the leadership of the legislature speaker Moore, Senator Pro TEM Berger, minority leader, blue and minority leader Reeves. Uh, they're unable to join us today, but I think we should give a round of applause to the entire general assembly who supported this project. So it's taken us a while for us to get here today. And as Jeff mentioned, I've been involved with this one probably since the first week I was in this department in early February 2017. Um So it's not been quite 67 million years, but sometimes it felt like it. Um Is that my wife laughing? I remember, I do remember vividly the early Sunday morning in April 2017, almost exactly seven years ago to this day when these specimens arrived. I watched as the movers painstakingly removed them from the tractor trailer truck and carefully moved them into their hidden storage places. It was definitely a goose bumps moment for hours and then we had the groundbreaking in the midst of COVID, uh which complicated everything. And as I said, then at the groundbreaking, when this lab opens, our state will become a must see destination for dinosaur lovers everywhere, from young kids to academics to anybody. Um And so here we are and it's even better than I think any of us dreamed it could be. You will see when you go in there. What a special exhibit this is. We have the best dinosaur specimens in the world and the best setting for people to see them and learn from them. Hundreds of moments and of awe and wonder will unfold in there every single day. And I can't wait to just wander over here sometimes to watch the kids' eyes pop open. Now, at the heart of this project is the science. Our paleontologists will make discoveries as they carefully uncover these and analyze them. Science will be happening in front of the public's eyes. Um And so do doing dinosaurs is an excellent way for the state to engage students in scientist scientific discovery and to develop greater science literacy. So why is that important? Um It's important because the only way we're going to solve our big problems is to rely on the science and the experts who know what they're talking about. And the key to getting to that point is to expand science education to make sure that every child understands the value of science and how scientific discovery works. The Dueling Dinosaurs exhibit is going to pull people into this amazing world of science that's so important to our future. So I am now pleased to introduce a leader who uses science and facts and data to make his decisions as governor of the state of North Carolina and he has supported this project throughout its duration. Everyone please give a warm welcome to our Governor Roy Cooper. Thank you, Secretary Wilson. I'll tell you when we have cabinet meetings every Monday. His is always the coolest report, particularly when we get the updates on the dueling dinosaurs. Uh I am so grateful to everyone who helped to make this happen. The partners. Thank you so much for the work you've done all of the contributors. Uh My family, Chris is proud that our state employees credit union accounts that $1 a month is going to things like this. That is so exciting. And when I think about this week, I spent Monday Earth Day on the Blue Ridge Parkway looking at our amazing vistas uh in Western North Carolina on Tuesday and Wednesday, I got to spend time with North Carolina's own astronaut Christina Cook who set records for time that a woman astronaut spent in space and space walking. And she actually presented us with a lob Lily pine that had been germinated on the moon. Native plant, Karen, first lady made sure it was a native plant, uh excited about planting that in our pine forest at the executive mansion. And she presented us with the North Carolina flag that flew with her on her mission in the International Space Station for 11 months, presenting it to the people of North Carolina. Then I got to come over here with Doctor Zano, doctor Doctor Young and to go through this exhibit and to talk to these scientists and see see these dinosaurs and think about how amazing it was that this was happening right here in North Carolina. You know, North Carolina is the first and best in so many things. Now, we're the best in dinosaurs. I love it. You know, it is amazing and extraordinary that we have the best preserved and most complete tyrannosaur and triceratops in the world. Right here at the North Carolina Museum of Natural Scientists. This exhibit will add to an already excellent rep reputation that North Carolina has as a world class research university community College state. And I'm excited about that. I have been through this exhibit and, and to see the faces of the paleontologist, how excited energetic that they are. And they're also excited and maybe even a little bit nervous about sharing their work as they do it with the world, with the cameras on top of them, with their brushes and their equipment as they make discovery after discovery. And I said, you know, you're gonna get comments and praise and maybe some criticism from science, all scientists all over the world. They said, we know we know and we're ready for that and that's what makes this so special. Uh Doctor Young Doctor Zano, thank you for leading me through. Thank, thank you for the work. I asked Doctor Zano what she was gonna do this summer? She said, Utah, Montana and Mongolia. Wow, that's cool. Bring some stuff back with us uh to, to us but to compete, compete in today's world stem and steam classes. Are more important than ever. And our next generation of leaders will be walking through this museum every day that it's open and this exhibit will stimulate interest in a lot of them. I have declared 2024 as the year of public schools in North Carolina. And I am deeply grateful that the legislature stepped up and invested in this exhibit. Uh It, it took a lot of work to pull everything together and their work was instrumental and I am encouraging them now also to invest more in our public schools in our early childhood education. Our state has a history of investing in public education in order to fuel our innovation and our discovery. And when these young students learn in their school classes and they get to come here and meet face to face with these sci scientists. It's going to develop interest and it's going to create our scientists of the future this state of the art secu diner lab and the dueling dinosaurs belong to the people of North Carolina. It's open to everyone free of charge. That is amazing. Thanks to everybody who made this happen. This is a proud day for the state of North Carolina. Thank you so much. Thank you, Governor Cooper. Uh It truly is an exciting day for all of us and thank you for being here. Now, at this time, I would like to invite everyone to join us just outside the auditorium here. A little bit to the right at the at the entrance for doing dinosaurs for the official ribbon cutting. And I want to invite all of you up there on the 2nd, 3rd floor. Presents. Come on down and join us. So let's go celebrate. Thank you. Yeah, we're at the back line up a little bit. It's gonna be quite a few people here. They are going to be coupled. OK? Don't cut it. Yeah, check, check, get out. OK. Yeah. Yeah. Thank you. Right. The the face. Thanks this chair, right. You all right. So fantastic. Hey guys for media. We questions afterwards over step on. This is the best to the future. This very good virtually. Yes. Is young. Was it? How about that? This is Yeah, you and then I now make the tea for. Can you be away if you're gonna be here? J JJ? Yeah, I was gonna have how many we have to get here in the morning right here. I didn't see anyone. All right, I need to tell everyone you should never put your hands inside the mouth of a tyrannosaurus. It's very sharp, well done on the end. Just a little bit here. Thank you. All right, just in the position. All right forward. Creep forward. Look for the fray. There we go. 321. Hold on. Is there we go. No cool, cool. The skin is tough. It's a meat eater. Not a ribbon eater. So OK. Sorry. OK. Barry can we do one more second? Let me fill in real quickly with one more. Yeah, they have thank you. Who gets to keep this to bring here? Let's get next to a do what you want us here. That be perfect. And can I get you on? So right here, you know what the secret with you and, but yeah, one photo, 12 and three. All right, thanks everybody. Right. If we have five, hello, if you guys want to come over here, I'll stand where the governor is gonna be. I.

Preview of Dueling Dinos, opening Saturday in Raleigh

Nightly N.C. Education Lottery drawings during the 11 p.m. News.

Good evening. I'm Gayle Hurd. Welcome to tonight's drawings for Wednesday, April 24th, 2024. Well, let's get started tonight with our Carolina pick three. Our first winning number is a seven. Our second number is six and the third number tonight is a nine and our pick three. Fireball number is six. Joining me for tonight's show is our auditor from mcconnell and Jones L LP. Now let's move to the Carolina pick four. Good luck. Everyone who's that first winning pick four number, it's zero. Our second number is a nine. Third number tonight is three and our fourth number is one in our pick for fireball number. There it is. It's three. Again, we're turning now to the Carolina cash five and no one was the top prize tonight. Tomorrow's top prize is estimated at $620,000. Good luck. Everyone here's their first win in cash five number. It's a 29. Our second number, it's 37 3rd number tonight. It's 34. Our fourth number is lucky 13 and the final number in our cash five this evening is 12. The North Carolina Education lottery has contributed over $10 billion to education. Get your winning numbers right here every night on your exclusive station for the North Carolina Education lottery. Thanks for playing. Have a great night.

Evening Pick 3 Pick 4 and Cash 5

Monday, Wednesday, and Saturday Powerball drawings, as shown live on WRAL.

Ball. Good evening, Ruan, I Randy trainer. Tonight. We have another life changing jackpot. It's worth an estimated $130.2 million. So, get your tickets ready here. Come, tonight's winning numbers. Let's start things off this evening with the number 26. Right after that America. We have the number two and congratulations to Gina Magnum from North Carolina. She won $50,000 playing powerball. All right, the rest of your winning numbers tonight 20 47. And let's round it out tonight with the number 22 and tonight 20 powerball number, that's gonna be 21 and your power play multiplayer is four. Let's take another look at tonight's winning numbers. We'll see you back here on Saturday night. It's time to play America's favorite.

Powerball Drawing

Brian Shrader flies over the site of a plane crash at Raleigh-Durham International Airport approximately three hours after the accident.

Seen some activity just in the past 10 minutes or so. I want to take you outside Sky five right now for a live look at the scene. We saw a van being escorted to the runway there and someone got out and now there appears to be a really careful inspection of the debris going on. So we're working to confirm if that may be the NTSB investigation team arriving at the scene. Let's zoom out and give you some about where this is. There are two main runways at RDU International and this is in the grassy field next to the runway that mostly serves terminal one on the east side of the airport, that runway remains closed while this investigation continues at the top of your screen. That is the other main runway that serves terminal two, mostly that runway is open. So we have two things going on here that could affect your flights for the rest of the day and maybe even into tomorrow, the airport takeoff and landing capacity is roughly reduced by half because they are only working with one runway. And if you have a flight coming out of terminal one, maybe Southwest, you're going to have to take that crossover all the way out to that other runway. It's going to add a lot of extra time.

Sky 5 flies over RDU plane crash 3 hours later 

A UNC Health physician and pilot were taken to the hospital Wednesday after a small plane crashed at Raleigh-Durham International Airport (RDU).


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