Which physical exam feature is associated with testicular torsion?

Testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, which compromises blood flow to the affected testicle. One of the hallmark features observed during a physical examination in cases of testicular torsion is testicular swelling. This swelling can occur due to tissue damage and inflammation resulting from the lack of blood supply, which may lead to increased fluid accumulation around the testicle.

In addition to swelling, other signs often associated with testicular torsion include acute scrotal pain and a high-riding testicle on examination. It is vital to recognize testicular torsion promptly, as the condition can lead to irreversible testicular damage if not treated quickly.

The other options listed do not relate specifically to testicular torsion; for instance, boggy turbinates are typically associated with nasal congestion, adnexal tenderness relates to gynecological concerns, and pharyngeal erythema is indicative of throat infections. These features point towards different medical scenarios unrelated to the acute presentation of testicular torsion.