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Time critical recognition
Testicular torsion time critical condition
Sudden onset unilateral scrotal pain
Peak incidence adolescence
Intermittent pain history possible with spontaneous detorsion
Nausea or vomiting with scrotal pain
Higher torsion likelihood than isolated pain
Pain onset within 6 hours
Highest salvage window
Pain onset beyond 6 to 24 hours
Salvage possible
Higher orchiectomy risk
Immediate stabilization and escalation
Initial priorities
Hemodynamic instability trigger
Resuscitation bay
Sepsis mimic pathway if febrile toxic appearance
Immediate urology notification trigger
High clinical suspicion
Absent cremasteric reflex with acute pain
High TWIST score
Imaging pathway selection
High suspicion then bypass imaging for OR
Intermediate suspicion then urgent Doppler ultrasound without delaying consult
Analgesia first line goals
Pain control targets
Rapid opioid titration option
Maintain ability to re examine
NSAID adjunct option
If no renal failure GI bleed risk anticoagulation concerns
Antiemetic adjunct option
For vomiting and vagal symptoms
Manual detorsion decision point
Manual detorsion considerations
If OR delay and high suspicion
Attempt bedside detorsion with analgesia or procedural sedation as needed
If pain improves after detorsion
Still requires urgent orchiopexy
If pain worsens or no improvement
Stop attempts
Proceed to emergent operative management
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.