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Testicular torsion — ABEM Board MCQ

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EasyGI/Abdominal emergenciesTesticular torsionABEM Board

A 16-year-old boy arrives with sudden severe left testicular pain and vomiting. Triage acuity is ESI 2; BP 124/76 mm Hg, HR 108/min. The left testicle is high-riding with a transverse lie and absent cremasteric reflex. Symptoms began 2 hours ago. Which of the following is the most appropriate initial action?

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Correct answer: E — Call urology for emergent detorsion and surgical exploration

Classic torsion requires immediate urologic intervention; imaging must not delay surgery when suspicion is high.

Reference: AUA testicular torsion guidance