Scrotal pain in a 10-Yr-Old Boy

Physical Examination

  • General appearance: In mild distress due to pain.

  • Vital signs:
  • Temperature: 36.7° C
  • Pulse: 87 beats/min
  • BP: 123/68 mm Hg
  • Respirations: 16/min
  • Height: 137 cm
  • Weight: 32 kg

  • Skin: Warm and dry to the touch, no rashes.

  • HEENT: Normocephalic, atraumatic.

  • Pulmonary: Breath sounds present and equal bilaterally. No stridor, no rales, no wheezing.

  • Cardiovascular: Regular heart rate and rhythm, no murmurs, radial pulses are present and equal bilaterally.

  • Gastrointestinal: Abdomen is flat, no visible lesions, bowel sounds normal. On palpation, abdomen is soft, nontender, no guarding, no masses.

  • Genitourinary: Circumcised phallus, no urethral discharge or lesions, no scrotal swelling or erythema. Testes normal size, no masses.

  • Musculoskeletal: No costovertebral angle tenderness.

  • Neurologic: Unremarkable

  • Mental status: Alert and oriented to person, place, time, and event.