A 33-year-old man presents with severe left testicular pain of 3 hours' duration. The testis is high-riding with a horizontal lie, and the cremasteric reflex is absent. What is the most appropriate next step?AScrotal ultrasound with Doppler before any other interventionBEmpiric antibiotics for presumed epididymo-orchitisCImmediate surgical exploration and detorsion of the testisDReassure and review in 24 hoursEManual detorsion in the office and discharge without surgical referralCheck my answer