An 18 year old cisgender male (pronouns: he, him, his) presents to your clinic with sudden onset of left-sided scrotal pain. He also reports some nausea. Confirmation of testicular torsion would include all of the following EXCEPT:
a. unilateral loss of the cremasteric reflex
b. the affected testicle held higher in the scrotum
c. testicular swelling
d. relief of pain with scrotal elevation