[Expert Solution]: Admission diagnosis: Probable right…

Admission diagnosis: Probable right testicular torsion Discharge diagnosis: Torsion, right appendix testis Procedures: Right scrotal exploration; excision appendix testis Complications: None Summary: Patient is a 7-year-old white male. He was brought to the ED by his mother on the morning of admission with a 1-hour history of sudden onset of groin pain. Physical exam at that time was suggestive for testicular torsion, and he was admitted for surgical repair. Physical exam showed a WDWN white male, in acute distress. Lungs clear. Heart regular, without murmur or gallop. Abdomen, no masses appreciated; bowel sounds normal, active. Genital exam showed testes down bilaterally; the right side was exquisitely tender; both cremasteric reflexes intact. Laboratory values on admission: WBC 8.7, with 33 segs, 58 lymphs; hgb 14.3. Hospital course: Patient was taken to the operating room and right scrotal exploration was carried out. The appendix testis was observed to be hemorrhagic and cyanotic and was excised. The testicle appeared fine otherwise. The right testicle was fixed in the scrotum. It was not necessary to explore the left side for fixation. Postoperatively the patient did well. Patient was admitted to the hospital from PACU. He was discharged home the following day in good condition. Discharge disposition: Home Medications: No prescription medications. OTC acetaminophen or ibuprofen every four hours for pain and inflammation. Discharge instructions: Parents instructed to keep incision clean. Follow-up in 2 weeks. idc10cm idc10pcs