Is testicular torsion a clinical diagnosis ?

1.When you see a child with acute scrotal pain, what is your underlying guiding principle ?
2.Do you practice in the UK ?
3.What is your main area of practice ?
4.In your practice, how often does a scrotal exploration reveal testicular torsion ?
5.How often do you obtain a scrotal ultrasound scan ?
6.Do you use risk scoring systems like TWIST ?
Current Progress,
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