A 48-year-old man with a longstanding history of chronic constipation complains of anal itching and discomfort toward the end of the day. He describes a perianal pain when sitting and finds himself sitting sideways to avoid discomfort. Physical examination reveals painful varicose dilations in the anal region, associated with edema. Which of the following is the most likely diagnosis? (A) Anal cancer (B) Anal fissure (C) Haemorrhoids (D) Ischiorectal abscess (E) Rectal cancer

Surgical Tech For Surgical Tech Pos Care
5th Edition
ISBN:9781337648868
Author:Association
Publisher:Association
Chapter4: Special Populations
Section: Chapter Questions
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A 48-year-old man with a longstanding history of chronic constipation complains of anal itching and discomfort toward the end of the day. He describes a perianal pain when sitting and finds himself sitting sideways to avoid discomfort. Physical examination reveals painful varicose dilations in the anal region, associated with edema. Which of the following is the most likely diagnosis? (A) Anal cancer (B) Anal fissure (C) Haemorrhoids (D) Ischiorectal abscess (E) Rectal cancer
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