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