History:
Abrupt onset testicular pain associated with nausea or vomiting
May have previous similar intermittent, self-resolving episodes
May present after scrotal trauma with persistent pain
Physical exam:
Swollen, high-riding testis
Transverse testicular lie
Absent cremasteric reflex on affected side (99% sensitivity)
Abrupt onset testicular pain associated with nausea or vomiting
May have previous similar intermittent, self-resolving episodes
May present after scrotal trauma with persistent pain
Swollen, high-riding testis
Transverse testicular lie
Absent cremasteric reflex on affected side (99% sensitivity)
Testicular torsion
Scrotal cellulitis
Traumatic epididymitis
Epididymitis
Fournier gangrene
Testicular rupture
Hematocele
Ovarian torsion