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CAUTION: THESE NOTES CONTAIN SPOILERS!!!

Case Introduction

The nurse tells you that you have a new patient and is requesting a verbal order for nausea medicine. She advises you that the patient is the CEO of your hospital…

Initial Vitals
  • Temp 98.9
  • HR 99
  • RR 18
  • BP 120/80
  • O2 98%
Critical Actions
  • Perform Genitourinary Exam
  • Rule Out Abdominal Aortic Aneurysm
  • Consult Urology
  • Treat the Patient’s Pain
  • Resist Delays on Consultant Pushback
Dangerous Actions
  • Delaying Urology Consultation to Obtain an Ultrasound
Final Diagnosis

Testicular Torsion with Referred Pain

Tips and Tricks

Don’t forget to verbalize genitourinary exam when appropriate

Additional Reading
Corrections

It is rare for testicular torsion to occur at this age