Urology Book

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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]

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