Reference no: EM133815504

Question

Clinical Scenario: Testicular Pain in a 15-Year-Old Male Chief Complaint A 15-year-old male presents with acute onset of testicular pain. History Collection Pertinent Information: Onset and Duration: When did the pain start? Was it sudden or gradual? Pain Characteristics: Is the pain sharp, dull, constant, or intermittent? Location and Radiation: Is the pain localized to one testicle or both? Does it radiate to the groin, abdomen, or back? Associated Symptoms: Any swelling, redness, fever, nausea, vomiting, dysuria, or urinary frequency? Trauma History: Any recent trauma or injury to the groin area? Sexual History: Any recent sexual activity, history of sexually transmitted infections (STIs)? Medical History: Any history of testicular problems, surgeries, or chronic conditions? Family History: Any family history of testicular torsion or other genitourinary conditions? Physical Examination Pertinent Positives: Testicular Tenderness: Pain upon palpation of the affected testicle. Swelling and Redness: Presence of swelling or erythema in the scrotal area. Cremasteric Reflex: Absence of the cremasteric reflex (elevation of the testicle when the inner thigh is stroked) may indicate testicular torsion. Prehn's Sign: Relief of pain when the scrotum is elevated may suggest epididymitis. Pertinent Negatives: No Fever: Absence of fever may rule out infection. No Dysuria or Urinary.