A boy with scrotal pain

Testicular Torsion chapter written by Sujata Sheth Kirtikant from Singapore is just uploaded to the Website!

422 - Right testicular torsion

A 16-year-old male was sleeping when he suddenly started to feel left sided lower abdominal pain. He continued to bear through the pain for another 30 minutes until he started to vomit. At this time he decided to go to the nearest hospital, which is about 15 minutes away. When he reached the hospital his vital signs were as follows: blood pressure: 120 over 60 mmHg, heart rate: 120 bpm, respiratory rate: 20 bpm, Temperature 36.5, Pain score is 10 out of 10 and SP O2 was 100% on room air. Physical shows a swollen right scrotum with significant tenderness. What is the next step?

by Sujata Sheth Kirtikant from Singapore.