A 10-year-old boy complains of sudden onset of scrotal pain…

Questions

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A 10-yeаr-оld bоy cоmplаins of sudden onset of scrotаl pain upon awakening that morning with associated severe nausea and vomiting. During the physical examination, the nurse practitioner evaluates a tender, warm, and swollen left scrotum. The cremasteric reflex is negative and the urine dipstick is negative for leukocytes, nitrites, and blood. What is the most likely diagnosis? 

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