Common during the first year of life as well as during pubertyPresents with nausea/vomiting, abdominal pain, and/or testicular painALWAYS examine a child for signs of torsion who presents with abdominal pain (especially lower abdominal pain)Look for tenderness, firmness, high riding testicle or testicle with unequal lie, swelling, and the absence of a cremasteric reflexConsult Urology IMMEDIATELY if you have high suspicion, otherwise proceed to ultrasoundUltrasound is only 85% sensitive, so clinical gestalt can trump even a negative USAttempt manual detorsion if there will be a significant delay to surgeryThe post PODCAST: Testicular Torsion first appeared on האיגוד הישראלי לרפואה דחופה.