ED Pathway for Child with Acute Non-Traumatic Scrotal Pain
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High Probability Testicular Torsion

  • Post-pubertal patient
  • Abnormal lie of testicle (high riding, horizontal)
  • Cremasteric reflex absent
  • Moderate to severe pain
  • Nausea/vomiting

Low Probability Testicular Torsion

  • Pre-pubertal patient
  • Normal lie of testicle
  • Cremasteric reflex present
  • Mild to moderate pain
  • No nausea /vomiting
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Posted : July 2011
Revised : October 2011
Authors : R. Scarfone, MD; J. Lavelle, MD; K. Posner, MD; K. Kraf, MD
 
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