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 Warm up question 3  

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A 20-year-old man presents with several weeks of painful rectal bleeding. He denies fever, nausea, or vomiting. He is sexually active with women only and usually uses condoms. He denies any history of CD, UC, or malignancy. He states that the pain is most severe during and immediately after defecating. Bleeding is bright red and only enough to stain the toilet paper. Which of the following is the most common etiology of painful rectal bleeding?

a. External hemorrhoid

b. Anal fissure

c. Anorectal tumor

d. Internal hemorrhoid

e. Venereal proctitis


b. Anal fissure



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