Urology Book


Twist Score

Aka: Twist Score
  1. See Also
    1. Testicular Torsion
  2. Indications
    1. Suspected Testicular Torsion for patients age >10 years old
  3. Criteria
    1. Score 2: Testicular Swelling
    2. Score 2: Hard Testicle (firm compared with opposite side)
    3. Score 1: Cremasteric Reflex Absent
    4. Score 1: Nausea or Vomiting
    5. Score 1: High Riding Testicle
  4. Interpretation: Based on Sum of scores from 5 criteria above
    1. Total Score >5
      1. Emergent Urologic Consultation
    2. Total Score 2 to 5
      1. Testicular Ultrasound with flow
    3. Total Score <2
      1. Testicular Torsion unlikely
  5. References
    1. Frolich (2017) Acad Emerg Med 24(12):1474-82 +PMID:28833896 [PubMed]
    2. Sheth (2016) J Urol 195(6):1870-6 +PMID:26835833 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree