You are working at Clerkship General when the next patient is put into your rack. It is an 8 year-old male with vomiting

Initial Vitals:

HR: 119

BP: 104/63

Temp: 98.0F

RR: 20

O2: 99% (Room Air)

Critical Actions:

  1. Finger Stick Blood Glucose
  2. Treat Patient’s Pain
  3. Diagnose Testicular Torsion
  4. Immediate Urology Consult
  5. Perform Manual Detorsion


Mellick LB, Sinex JE, Gibson RW, Mears K. A Systematic Review of Testicle Survival Time After a Torsion Event. Pediatr Emerg Care. 2019 Dec;35(12):821-825. doi: 10.1097/PEC.0000000000001287. PMID: 28953100.