At 0200 hours you are dispatched to a suburban residence for a 14-year-old male with severe abdominal pain, nausea and vomiting. On arrival you are shown to the patient, who appears to be in significant distress due to pain.The patient tells you that he woke up about 30 minutes ago with severe pain in his scrotum and lower abdomen with associated nausea and vomiting. He denies any trauma; being sexually active; urethral discharge; fever; dysuria; anorexia or diarrhoea. On examination his vital signs are within normal limits, the abdomen is soft and non-tender on palpation, afebrile.He is otherwise well with no significant medical history, no current medications and no allergies. Based on the clinical presentation, which of the following conditions should be foremost in the list of differential diagnoses?

Question

Quizplus · Accepted Answer

The patient's symptoms of severe scrotal and lower abdominal pain, nausea, and vomiting, with no history of trauma, fever, or urinary symptoms, are most suggestive of testicular torsion. This condition requires urgent evaluation and treatment to prevent testicular damage.

At 0200 Hours You Are Dispatched to a Suburban Residence