,Patient Information
Name: Caleb Metz (per iHuman case documentation)
Age: 13 years
Gender: Male
Height: 5’5” (165 cm, approximately 50th percentile for age)
Weight: 120 lb (54 kg, approximately 50th percentile for age)
Reason for Encounter: Acute onset of left-sided testicular pain,
presenting to an outpatient pediatric clinic in 2024.
History of Present Illness
Caleb Metz, a 13-year-old male, presents to the outpatient pediatric
clinic with a chief complaint of severe left-sided testicular pain that
began approximately 2 hours ago during a basketball game at school.
He describes the pain as sharp and constant, rating it 9/10 on a pain
scale, localized to the left scrotum with radiation to the left lower
abdomen and groin. The pain began suddenly while running during the
game, and it has progressively worsened, particularly with movement
such as walking or standing. He reports difficulty walking due to the
intensity of the pain. Associated symptoms include nausea with one
episode of non-bloody, non-bilious vomiting while en route to the
clinic, as well as mild diaphoresis (sweating) noted by his father. Caleb
, denies any direct trauma to the scrotum, such as being hit by a ball or
falling during the game. He also denies fever, chills, dysuria (painful
urination), hematuria (blood in urine), urinary frequency, penile
discharge, or changes in bowel habits. The patient’s father, who
accompanies him, reports that Caleb was in good health prior to this
episode, with no recent illnesses or injuries. Caleb has not experienced
similar symptoms in the past and has no history of sexual activity,
urinary tract infections, or sexually transmitted infections. The father is
concerned about the severity of the pain and its sudden onset,
prompting the urgent visit to the clinic. Medical History
Past Medical History:
History of recurrent otitis media in early childhood, treated
with tympanostomy tubes at age 3, which resolved without
complications.
No history of chronic illnesses, hospitalizations, or recent
surgeries.
No history of testicular pain, cryptorchidism (undescended
testicle), or genitourinary anomalies.
Allergies: No known allergies to medications, foods, or
environmental triggers.
Name: Caleb Metz (per iHuman case documentation)
Age: 13 years
Gender: Male
Height: 5’5” (165 cm, approximately 50th percentile for age)
Weight: 120 lb (54 kg, approximately 50th percentile for age)
Reason for Encounter: Acute onset of left-sided testicular pain,
presenting to an outpatient pediatric clinic in 2024.
History of Present Illness
Caleb Metz, a 13-year-old male, presents to the outpatient pediatric
clinic with a chief complaint of severe left-sided testicular pain that
began approximately 2 hours ago during a basketball game at school.
He describes the pain as sharp and constant, rating it 9/10 on a pain
scale, localized to the left scrotum with radiation to the left lower
abdomen and groin. The pain began suddenly while running during the
game, and it has progressively worsened, particularly with movement
such as walking or standing. He reports difficulty walking due to the
intensity of the pain. Associated symptoms include nausea with one
episode of non-bloody, non-bilious vomiting while en route to the
clinic, as well as mild diaphoresis (sweating) noted by his father. Caleb
, denies any direct trauma to the scrotum, such as being hit by a ball or
falling during the game. He also denies fever, chills, dysuria (painful
urination), hematuria (blood in urine), urinary frequency, penile
discharge, or changes in bowel habits. The patient’s father, who
accompanies him, reports that Caleb was in good health prior to this
episode, with no recent illnesses or injuries. Caleb has not experienced
similar symptoms in the past and has no history of sexual activity,
urinary tract infections, or sexually transmitted infections. The father is
concerned about the severity of the pain and its sudden onset,
prompting the urgent visit to the clinic. Medical History
Past Medical History:
History of recurrent otitis media in early childhood, treated
with tympanostomy tubes at age 3, which resolved without
complications.
No history of chronic illnesses, hospitalizations, or recent
surgeries.
No history of testicular pain, cryptorchidism (undescended
testicle), or genitourinary anomalies.
Allergies: No known allergies to medications, foods, or
environmental triggers.
