症例 challenge · Urology / Emergency · teaching

Testicular Torsion — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on AUA/EAU / TWIST

Case #1Urology / Emergency

📋 Case data

TWIST / clinical suspicionLow suspicion (0–2)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · TWIST / clinical suspicion

Acute scrotal pain — TWIST score / clinical suspicion?

💡 Surgical emergency and clinical diagnosis, 'time is testicle': salvage is highest with surgery within 6 h of pain onset (4–8 h window). Presentation: sudden severe unilateral pain, nausea/vomiting, high-riding/horizontal testis, absent cremasteric reflex, scrotal swelling. TWIST (swelling 2, hard 2, absent cremasteric reflex 1, nausea/vomiting 1, high-riding 1).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.