Which is the best diagnosis

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Problem

An 18-year-old male is at the emergency department with a chief complaint of testicular pain. The pain is 10/10 and the patient is nauseous and has vomited from the pain. On physical exam of the genitals, the scrotum appears swollen with a high riding right testicle. The right testicle is hard to the touch and a cremasteric reflex is absent on the right side. Phren sign is negative and the patient states that he is not sexually active. Which is the best diagnosis?

Reference no: EM133728406

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