Urgent Care Evaluation of Pain and Swelling in the Scrotum

In this episode, Tracey Davidoff, MD, Joe Toscano, MD, Benjamin Silverberg, MD, MSc, FAAFP, FCUCM, and Ammie Rodden, PA-C, discuss the September 2026 Evidence-Based Urgent Care article, Urgent Care Evaluation of Pain and Swelling in the Scrotum.

  • 0:17 — Podcast introduction
  • 1:59 — Topic introduction: acute scrotal pain; authors Dr. Ben Silverberg & Ammie Rodden PA-C
  • 2:35 — Why they wrote this article
  • 4:24 — Key takeaways
  • 5:30 — Physical exam signs & clinical judgment
  • 7:19 — TWIST score explained in detail
  • 9:33 — Ultrasound decisions & Doppler flow pitfalls
  • 13:30 — Risk-stratifying who needs imaging now vs. later
  • 14:37 — STIs & epididymitis: the age-35 cutoff is dead
  • 18:22 — Sensitive exams, chaperones & patient comfort
  • 22:09 — Beyond torsion: Fournier’s gangrene & trauma
  • 24:17 — Key learning moments
  • 27:26 — Wrap-up & what’s coming next

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