This PedsCases Note provides a one-page infographic on Testicular Torsion. It outlines presentation, diagnosis, and management of this surgical emergency. It also reviews using the TWIST score to guide your risk stratification.

It was created by Sarah Park, a medical student at the University of Alberta, with the help of Dr. Peter Metcalfe, a pediatric urologist at the University of Alberta, and Dr. Mark Assmus, a urologist at Indiana University. 

Click on the image below for the full-screen PDF handout.

Related Content:

• Note: Scrotal Pain
• Podcast: Urologic Emergencies

References

1. Liang T, Metcalfe P, Sevcik W, Noga M. Retrospective review of diagnosis and treatment in children presenting to the pediatric department with acute scrotum. American Journal of Roentgenology. 2013 May;200(5):W444-9.
2. Sheth KR, Keays M, Grimsby GM, Granberg CF, Menon VS, DaJusta DG, Ostrov L, Hill M, Sanchez E, Kuppermann D, Harrison CB. Diagnosing testicular torsion before urological consultation and imaging: validation of the TWIST score. The Journal of urology. 2016 Jun;195(6):1870-6.