The nurse practitioner is evaluating a 12-year-old boy with…
The nurse practitioner is evaluating a 12-year-old boy with the chief complaint of “scrotal pain”. The client reports the pain developed suddenly upon awakening that morning with associated nausea. He has vomited twice since arriving at the clinic. He denies fever or dizziness. He denies any prior injury or trauma to the scrotum. During the physical examination, the NP finds a tender, warm, and swollen left scrotum with a negative cremasteric reflex. A urine dipstick is obtained and is negative for leukocytes, nitrites, and blood. What is the most likely diagnosis for this client?
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