Exam

Twist Score

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Twist Score

  • Indications
  1. Suspected Testicular Torsion for patients age >10 years old
  • 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
  • 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