Do not delay urologic consultation for work-up
Consult urology immediately if strongly suspicious for torsion
Urinalysis
Ultrasound for equivocal cases
Bedside U/S has a SN 0.95 and SP 0.94 compared to a gold standard of radiology U/S
Lab workup for surgery
Consult urology immediately if strongly suspicious for torsion
Bedside U/S has a SN 0.95 and SP 0.94 compared to a gold standard of radiology U/S
Proposed score for assessing<unk>  in children
PPV 100% when >5 points (Suggesting stat urological consult)
NPV 100% when <2 points (Suggesting clinical clearance)
Scores from 2-5 patients require U/S for further assessment
Ultrasound
Only indicated for equivocal cases
Unilateral absence of blood flow
Only indicated for equivocal cases
Unilateral absence of blood flow
Testicular torsion
Scrotal cellulitis
Traumatic epididymitis
Epididymitis
Fournier gangrene
Testicular rupture
Hematocele
Ovarian torsion