CASES OF NOTEPresentation of Testicular Torsion in the Emergency DepartmentAnn Kroger-Jarvis, Melanie DNP; Gillespie, Gordon Lee PhD, DNP, RN, FAENSection Editor(s): Jordan, Kathleen Sanders DNP, RN, MS, FNP-C, SANE-P; Column Editor Author Information University of Cincinnati College of Nursing, Cincinnati, Ohio. Corresponding Author: Melanie Ann Kroger-Jarvis, DNP, University of Cincinnati College of Nursing, PO Box 210038, Cincinnati, OH 45221 (firstname.lastname@example.org). Disclosure: The authors report no conflicts of interest. Advanced Emergency Nursing Journal: October/December 2016 - Volume 38 - Issue 4 - p 295-299 doi: 10.1097/TME.0000000000000119 Buy Metrics Abstract Testicular torsion is a urological emergency affecting 3.8 per 100,000 males younger than 18 years. Differential diagnosis of the acutely painful scrotum is crucial for the advance practice nurse to understand. Advanced practice nurses should consider the differential diagnosis of testicular torsion for any patient with testicular pain despite the patient's age, history, or physical examination findings. The standard of care for a patient with testicular pain to rule out testicular torsion is a Doppler ultrasound scan and an emergent urology consult. Immediate attention to this urological emergency will decrease risks to testicular viability. © 2016 Wolters Kluwer Health, Inc. All rights reserved.