Your patient is:

..............Joseph Davis, a 17 year-old high school senior.

He is brought in by his mother at 0400 hrs. He complains of (c/o) sudden onset of pain in his left testicle 3 hours earlier that woke him up. The pain is intense and has made him vomit. VS: T 99.2°F, P 88, R 15, BP 130/70. Examination reveals his left testicle to be enlarged, warm, and tender. His abdomen is normal to palpatio