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NBME 24 Answers
A 45-year-old man is brought to the emergency ...
Renal calculi in the left ureter
and there's no mass in the scrotum, whereas testicular torsion will have that "bag of worms" feel (along with a lack of cremaster reflex)
testicular torsion usually happens in a younger age group
@neels11 I would like to clarify a piece of information. I believe you are confusing Varicocele with Testicular Torsion. Varicocele will present with "bag of worms" feeling. While the absence of cremasteric reflex is a sign of testicular torsion.
This is the classic "loin to groin pain" of nephrolithiasis.