Round 4 (Flank Pain)

CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction The nurse tells you that you have a new patient and is requesting a verbal order for nausea medicine. She advises you that the patient is the CEO of your hospital… Initial Vitals * Temp 98.9* HR 99* RR 18* BP 120/80* O2 98% Critical Actions * Perform Genitourinary Exam* Rule Out Abdominal Aortic Aneurysm* Consult Urology* Treat the Patient’s Pain* Resist Delays on Consultant Pushback Dangerous Actions * Delaying Urology Consultation to Obtain an Ultrasound Final Diagnosis Testicular Torsion with Referred Pain Tips and Tricks Don’t forget to verbalize genitourinary exam when appropriate Additional Reading * Testicular torsion overview (EM Clerkship) Corrections It is rare for testicular torsion to occur at this age