10.01.2019 - By Zack Olson, MD and Michael Estephan, MD
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
The nurse tells you that you have a new patient and is requesting a verbal order for nausea medicine. She advises you that the patient is the CEO of your hospital…
Initial Vitals
* Temp 98.9* HR 99* RR 18* BP 120/80* O2 98%
Critical Actions
* Perform Genitourinary Exam* Rule Out Abdominal Aortic Aneurysm* Consult Urology* Treat the Patient’s Pain* Resist Delays on Consultant Pushback
Dangerous Actions
* Delaying Urology Consultation to Obtain an Ultrasound
Final Diagnosis
Testicular Torsion with Referred Pain
Tips and Tricks
Don’t forget to verbalize genitourinary exam when appropriate
Additional Reading
* Testicular torsion overview (EM Clerkship)
Corrections
It is rare for testicular torsion to occur at this age