69. A 19-year-old man comes to the emergency department due to intense scrotal pain over the past 6 hours. The pain started shortly after waking up. He does not recall any specific trauma. The patient took ibuprofen at home with minimal relief. There is significant discomfort with scrotal examination primarily on the right where a high-riding swollen mass is palpated. The left testicle is palpated lower in the scrotum. Which of the following additional physical examination findings is most likely present in this patient? Transillumination of the mass when a flashlight is placed behind the testicle Enlargement of the mass when the patient coughs or bears down Increase in the size of the mass when standing relative to lying Reduction in pain with manual elevation of the right testicle Absent elevation of the right testicle with the stroking of the ipsilateral thigh
Added by Kenneth B.
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