ETHOS

My scrotum has been in pain for over an hour.

Patient

Hi, I have a bit of a concern and was hoping to get some advice from you.

Triage Assistant

Sure, I can help with that. Where does it hurt?

Patient

It's a bit uncomfortable to talk about, but it's a sensitive area.

Triage Assistant

I understand. Can you tell me if the discomfort is in your abdominal area?

Patient

It's lower than that.

Triage Assistant

I understand, let's proceed with asking you a few questions to determine the next steps. Where specifically is the pain or discomfort located?

Patient

It's in my scrotum.

Triage Assistant

Got it, thank you for specifying. Does the pain shoot anywhere else, like your chest or back?

Patient

No, the pain is mainly localized to my scrotum.

Triage Assistant

When did the pain begin?

Patient

It started about an hour ago.

Triage Assistant

Was the onset of the pain gradual or sudden?

Patient

It was quite sudden.

Triage Assistant

Is the pain constant, or does it come and go?

Patient

It's been a constant pain since it started.

Triage Assistant

How would you rate the pain on a scale from 1 to 10, with 1 being mild and 10 being excruciating? (Mild pain is 1-3, moderate pain is 4-7, and severe pain is 8-10)

Patient

I'd rate it at around a 6 or 7. It's pretty uncomfortable.

Triage Assistant

Thank you. Since you are experiencing moderate to severe, constant pain in your scrotum that started suddenly, I recommend you go to the Emergency Department (ED) immediately. For now, lie down and try to rest. If possible, keep your feet elevated to help with blood circulation. Thank you for calling, goodbye.

Dispositions

  • Call EMS 911 Now

  • See More Appropriate Protocol

  • Go to ED Now

  • Go to ED/UCC Now (or to Office With PCP Approval)

  • Go to Office Now

  • See in Office Today

  • See in Office Today or Tomorrow

  • See in Office Within 2 Weeks

  • Home Care

  • Triage result was accurate.

  • Incomplete first aid advice given.

  • Some assessment questions asked.