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10 yeаr оld mаle with nо PMH, vаccinatiоn up to date reports acute onset of left testicular pain that started 2 hours ago while playing baseball. The child denies any known injury, but the pain has been constant with no alleviating factors. Patient denies difficulty urinating, abdominal pain, nausea, vomiting or diarrhea. No recent illness as per parents. On exam, the patient is moderate painful distress. Left testicle with erythema, swelling and tenderness on palpation. Right testicle appears normal and with no pain. Penis with no deformities, lesions or tenderness. Otherwise, exam is unremarkable. VS: BP: 115/65 mmHg Rt arm sitting; HR:70 bpm, T: 98.6F oral, RR: 16 bpm unlabored.