Round 19 (MW) Tummy Ache in Child with Diabetes EM Clerkship

You are working at Clerkship General when the next patient is put into your rack. It is an 8 year-old male with vomiting







Initial Vitals:







HR: 119







BP: 104/63







Temp: 98.0F







RR: 20







O2: 99% (Room Air)







Critical Actions:









* Finger Stick Blood Glucose







* Treat Patient’s Pain







* Diagnose Testicular Torsion







* Immediate Urology Consult







* Perform Manual Detorsion









References:







Mellick LB, Sinex JE, Gibson RW, Mears K. A Systematic Review of Testicle Survival Time After a Torsion Event. Pediatr Emerg Care. 2019 Dec;35(12):821-825. doi: 10.1097/PEC.0000000000001287. PMID: 28953100.