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Torsion in a Patient With a Twist Score of Seven?
It's definitely not a rule that's helpful in terms of ruling out torsion. I think there were some concerns just in terms of the number of patients recruited for the study. In those patients it's reasonable to speak turology immediately, consider immediate operative intervention and perhaps skip the ultrasound if there is going to be any delay. So I'm not sure this rule is really changing my management.