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 tenderness. 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!
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Last Updated on November 12, 2024
