TWIST scoring system
| TWIST PARAMETER | SCORE IF PRESENT |
|---|---|
| Testicular swelling | 2 |
| Hard testicle | 2 |
| High-riding testis | 1 |
| Absent cremasteric reflex | 1 |
| Nausea or vomiting | 1 |
| Total score | _/7 |
TWIST—Testicular Workup for Ischemia and Suspected Torsion. Data from Barbosa et al13 and Sheth et al.14