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October 2007, Volume 37 Number 10 , p 72 - 72


  • Heather Brown-Guttovz RN, BSN


Brown-Guttovz, Heather RN, BSN

Freelance writer Farmington Hills, Mich.

IN DISTRESS AND HAVING difficulty walking, Sean O'Malley, 14, is brought into your ED by his mother, Diane. He says he started having severe pain in his left testicle 3 hours ago. You help him to a bed and take his vital signs: BP, 114/68; respirations, 20; temperature, 98.6° F (37°C); and SpO 2 , 98% on room air. His cardiac rhythm and rate are normal sinus rhythm, 98 beats/minute.

What's the situation?

Sean says the testicular pain occurred suddenly, waking him from a sound sleep. He denies injury to the scrotum, but tells you he played in a hockey game the previous evening. He rates his pain as a 10 on a 0-to-10 scale. He also complains of nausea. He denies fever, chills, pain with urination, or penile discharge. He has no known allergies or medical problems, and denies being sexually active. He says he's never had pain like this before.

Sean is 65 inches (163 cm) tall and weighs 144 pounds ...

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