Welcome to this month’s What’s Your Diagnosis Challenge!
But before we begin, check to see if you got the previous case on Pediatric Gastrointestinal Bleeding: Identification and Management in the Emergency Department right.
Case Presentation: Emergency Department Management of Acute Scrotal Pain in Pediatric Patients| A previously healthy 13-year-old boy with 3 hours of lower abdominal and groin pain presents to your rural community ED… |
- The boy has no fever, dysuria, or hematuria. He is not sexually active and denies trauma. He has vomited twice.
- On examination, the boy appears uncomfortable and rates his pain as 9/10. His abdomen is soft, with mild lower left quadrant tender ness. A testicular examination is notable for a swollen, erythematous, high-riding left testicle that feels indurated compared to the right testicle. You cannot elicit a cremasteric reflex on either the right or the left. You begin to consider your management priorities…
Make your best guess, and check back next month for the case conclusion!
USACS subscribers can log in or renew here.
