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Testicular torsion — RCPSC EM MCQ

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EasyPaediatric emergenciesTesticular torsionRCPSC EM

A 14-year-old has right testicular pain that began suddenly two hours ago with vomiting. The testis is high-riding and tender, and cremasteric reflex is absent. Vitals are normal. What is the most appropriate investigation?

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Correct answer: B — Urgent urologic assessment without delaying for imaging when torsion is clinically likely

A classic testicular torsion presentation should prompt immediate urologic assessment; ultrasound can help if equivocal but must not delay detorsion.

Reference: Canadian Paediatric Society guidance