Hello, med students.

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

Podcast.

So last week, we started talking about flank pain, bad flank pain.

We talked about kidney stones, by far a super common diagnosis, but I need you to remember.

Kidney stones are a diagnosis of exclusion.

That was our big takeaway.

Kidney stones are a diagnosis of exclusion.

That is by far the most important thing I can teach you about flank pain.

Kidney stones are like gastroenteritis and gurd. They are a diagnosis

of exclusion in emergency medicine because this week are patient with flank pain, let's say they don't

have a simple kidney stone, but they have a testicular torsion and it's going to look exactly

the same as a kidney stone. And this is a critical diagnosis though this time.

They're going to have flank pain, lower abdominal pain, testicular pain, all sudden an onset, vomiting, distress.

It looks the same as a kidney stone.

But it's not.

It's a critical diagnosis, testicular torsion. That's what we're going to talk about

this week. And today I'm going to teach you about this by kind of covering five things.

History, exam, testing, calling urology, and then the manual detortion procedure for a testicular

torsion. This is a critical diagnosis. This is one of the 12

most common lawsuit diagnoses. So you definitely need to know this. Let's talk about testicular torsion.

And it doesn't apply 100%, but I kind of mentally in females put ovarian torsion with this as well,

...