3min chapter

Emergency Medicine Cases cover image

Ep 144 Testicular Torsion: A Diagnostic Pathway

Emergency Medicine Cases

CHAPTER

The Twist Score for Testicular Workup for Ischemia and Suspected Torsion

Dr. Walpert: I'm not going to use any specific clinical finding to rule out torsion personally in somebody who has acute onset pain and significant testicular findings. A study in 2017 in academic EM found that patients with testicular torsion had a statistically significant higher twist score than those without torsion. So Dr. Walpert, is there really any value in using the twist score in our EM practices to help rule in or rule out torksion?

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