[Solved]: CASE #1: A 15-year-old boy comes to the primary…

CASE #1: A 15-year-old boy comes to the primary care NP’s office reporting a sudden onset of right-sided scrotum and groin pain. He tells the NP that the pain started about 2 hours ago while playing basketball. He denies trauma or injury during play, but he is worried about a sexually transmitted infection because he recently had unprotected intercourse. He tells the NP that he is nauseated and may vomit. He reports having had this pain before but it only lasted a few seconds and then went away on its own. PHYSICAL EXAM: · Vital signs: T98.9; pulse 100 beats/min; respirations 20 breaths/min; BP 110/70 mmHg · Appearance: healthy appearing; appears anxious · Genital exam: Edema and erythema over right scrotum. Extreme tenderness to palpation. Patient only able to tolerate superficial palpation · Heart and lungs are unremarkable. QUESTIONS: 1. What are the NP’s differential diagnoses. List at least 3. 2. What is the NP’s most likely diagnosis? Provide a rationale. 3. What are some clinical findings consistent with testicular torsion? 4. What are some clinical findings consistent with epididymitis?