3 Hours Of Sudden in Pediatrics — 13yo Child | Pediatric Emergency | SMLE Q#12094

SMLE Question #12094

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 13-year-old boy presents with 3 hours of sudden severe left scrotal pain with nausea. He has no fever or dysuria. Examination shows a tender, firm left testis that is high-riding with a horizontal lie, and the left cremasteric reflex is absent. What is the most appropriate next step in management?

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