03-21-2015, 12:22 PM
A previously healthy 15-year-old boy is brought to your emergency department with a 3-hour history of right testicular pain. He states that the pain began after football practice this afternoon. He does not remember any trauma to the area during practice. He appears to be in a significant amount of pain. His blood pressure is 128/80 mm Hg and his pulse is 110/min. Physical examination shows an erythematous, swollen right scrotum with significant tenderness to palpation on that side. You also note that the cremasteric reflex is absent on the right side. A urinalysis was sent from triage and is negative. The most appropriate next step is a
A. CT of the abdomen
B. surgical consultation
C. urine for gonorrhea and chlamydia
D. testicular biopsy
E. voiding cystourethrogram
A. CT of the abdomen
B. surgical consultation
C. urine for gonorrhea and chlamydia
D. testicular biopsy
E. voiding cystourethrogram