A 15 year old male patient is coming to your emergency department complaining of pain in his right testicle. He said the pain began 6 hours ago, mid sleep, and threw up before arriving to the ED.  Physical exam shows a tender, swollen, and slightly elevated right testicle. The cremasteric reflex is absent.  The patient is unable to go to the OR immediately. What do you do next? Listen to find out! - Subscribe to our YouTube here: http://www.youtube.com/subscription_center?add_user=paboards - Follow us on Instagram here: https://www.instagram.com/paboards/ and https://www.instagram.com/pance_panre_usmle_review/ - Ace your exams: https://learn.physicianassistantboards.com/collections - Have questions about this podcast? Email gray@physicianassistantboards.com