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Review Question - QID 214851

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QID 214851 (Type "214851" in App Search)
A 22-year-old man presents to the emergency department with testicular pain. His pain started 2 hours ago and has been gradually worsening. The patient states that he was playing basketball earlier in the day and may have been hit in the testicles. He is otherwise healthy and takes no medications. His temperature is 99.3°F (37.4°C), blood pressure is 132/78 mmHg, pulse is 98/min, respirations are 18/min, and oxygen saturation is 99% on room air. Physical exam reveals a firm, tender, elevated left testicle that is in a different position compared to the other testicle. Stroking the patient’s inner thigh elicits no response from the patient's affected testicle. Which of the following is the most appropriate initial management of this patient?