A Young Adult Male Reports a Dull Pain in the Right

A young adult male reports a dull pain in the right scrotum and the provider notes a bluish color showing through the skin on the affected side. Palpation reveals a bag of worms on the proximal spermatic cord. What is an important next step in managing this patient?

A) Anti-infective therapy with ceftriaxone or doxycycline
B) Consideration of underlying causes of this finding
C) Reassurance that this is benign and may resolve spontaneously
D) Referral to an emergency department for surgical consultation