Hello, med students.

My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship

Podcast.

We're currently in our genitoneary month in our summer of abdominal angst, and so far it's

been females, mostly with all the issues.

We covered UTI, obviously, more common in females.

Not always, but we also common than females, not always,

but we also talked about ectopic pregnancy, PID, ovarian torsion. But here's the thing. Men,

we have our pelvic conundrums as well, and that's what we're going to talk about this week.

Last week, we talked about pelvic inflammatory disease. This week we're talking about prostititis. Last week, we talked about pelvic inflammatory disease. This week, we're

talking about prostateitis. Last week, we talked about ovarian torsion. This week, we're going to talk about,

you guessed it, testicular torsion. All critical diagnoses. Let's start with testicular torsion,

because we've covered it before. And so we can move through this one really

quick.

History.

If the patient isn't coming in complaining of specifically testicular pain, like in the triage

note, frequently these patients, you're either going to see the triage note stating that

they're complaining of either like a lower abdominal pain or flank pain.

This is the context we've covered it in before.

The differential diagnosis of flank pain, abdominal aortic aneurism, torsion, kidney stones.

I have definitely seen patients with a triage note along the lines of, imagine reading this, right?

Flank pain, history of kidney stone,

...