An adolescent male comes to the clinic reporting unilateral scrotal pain, nausea, and vomiting that began that morning. The primary care pediatric nurse practitioner palpates a painful, swollen testis and elicits increased pain with slight elevation of the testis (a negative Phren's sign). What will the nurse practitioner do?

Question

Quizplus · Accepted Answer

The presentation of unilateral scrotal pain, swelling, and tenderness with nausea and vomiting is strongly suggestive of testicular torsion, a urologic emergency that requires immediate surgical intervention to prevent testicular loss. A negative Phren's sign suggests the same diagnosis. Antibiotics, rest, and scrotal support are not appropriate management in this case. Referral to a pediatric urologist or surgeon is essential for prompt diagnosis and treatment.

An Adolescent Male Comes to the Clinic Reporting Unilateral Scrotal