Caster Semenya is a South African track star who has won two…

Caster Semenya is a South African track star who has won two Olympic gold metals in the 800 meter race. She has an X and a Y chromosome. According to current rules, a person with an SRY gene cannot compete in world competitions such as the Olympics unless they have complete androgen insensitivity syndrome.  

A 14-year-old boy presents to the ED with sudden onset of se…

A 14-year-old boy presents to the ED with sudden onset of severe left testicular pain that began 90 minutes ago while he was sitting in class. He has associated nausea and one episode of vomiting. He denies trauma. On exam, the left testicle is high-riding and horizontally oriented. The scrotum is mildly swollen and tender, and the cremasteric reflex is absent on the left. Transillumination is negative. Which of the following is the most appropriate next step in management?