Answer 2

2.  Choice B is the correct answer.  The onset of the pain was two hours ago.  Testis necrosis starts to happen about 4-6 hours after the onset of pain.  Time is testicle.  There can be fertility issues reported in those that have to undergo an orchiectomy.  The turn around time on a 3 dose oral contrast would be 2 hours minimum and would not rule out a torsion.  This patient may need this at some point but it is not the first appropriate test to order.  Abdominal ultrasound may be appropriate to order if the patient does not have testicle pain.  A 3 view abdomen x rays would be low yield in this case.