I HUMAN CALEB METZ CASE STUDY

I HUMAN CALEB METZ CASE STUDY

Management Plan by Jessica Rhyan on case Caleb Metz
diagnostic tests
scrotal doppler ultrasound
urinalysis (Keays & Rosenberg, 2019)
medications (Schick & Sternard, 2022)
pain medications and antiemetics - as the patient will most likely need surgical correction the patient will be NPO.
Ondanestron IV 4mg q6h PRN nausea/vomiting
Acetaminophen 1g IV q6h PRN pain and/or ketorolac 30mg IV q6h PRN for pain
If these pain meds are not strong enough, morphine or dilaudid can be ordered
At home post procedure
acetaminophen 650mg q6h PRN (not to exceed 4g/day)
suggested consults/referrals
This is a medical emergency. If the patient is in the office, send to the ED. Emergency urology referral for correction. Necrosis of
the testicle can occur after 10-12 hours (Keays & Rosenberg, 2019).
client education
Education for post-op care will be given by urology to the patient. Patient should be educated that recurrent torsion is possible
and to present immediately if signs/symptoms occur (Schick & Sternard, 2022).
follow-up
follow-up with urology 1-2 weeks post correction, annual visit for appropriate testicular health throughout adolescence (Schick &
Sternard, 2022).
Keays, M., & Rosenberg, H. (2019). Testicular torsion. Canadian Medical Association Journal, 191(28).
https://doi.org/10.1503/cmaj.190158
Schick MA, Sternard BT. Testicular Torsion. [Updated 2022 Jun 21]. In: StatPearls [Internet]. Treas