Accompanied by nausea and one episode of vomiting

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A 13-year-old male presents with sudden onset of left scrotal and testicular pain, accompanied by nausea and one episode of vomiting. He exhibits tachycardia and diaphoresis. Physical examination reveals left scrotal swelling and erythema, with exquisite tenderness to palpation of the left testicle. The left cremasteric reflex is absent. The patient's medical history includes tympanostomy tubes placed in childhood. Given the acute nature of the symptoms, differential diagnoses such as testicular torsion or epididymitis must be considered, requiring prompt evaluation and intervention to prevent complications. The patient's vital signs and associated symptoms indicate a potentially serious condition necessitating immediate attention.

Reference no: EM133808024

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