Testicular Torsion

Authors: Xiao Jing Zhang, Sara Goldstein, Steph Jose, Mathew Nelson, Tiffany Moadel

Brief narrative description of case
You are working overnight in a single coverage ED when a 15-year-old male presents with his mom for lower abdominal pain. The patient was playing basketball 3 hours ago and suddenly felt severe lower abdominal pain. No trauma to the abdomen. No history of STIs. No dysuria or hematuria. Sexually active with one female partner and does not use condoms. No drugs or alcohol. No prior surgeries. Tylenol and Motrin did not work at home. The pain has now been persistent for the past 5 hours, and progressively worsening. Learners are expected to obtain a social and sexual history from the teen and identify testicular torsion on exam and using ultrasound. Learners must perform manual detorsion techniques and consult urology for definitive management.

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