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ABSITE MCQs What disease should be ruled out in a patient with an anal fissure laterally instead of posteriorly?

 A 50 year old man presents with pain on defecation and some red streaking after bowel movements. You perform anoscopy which feels tight and notice an anal fissure laterally instead of posteriorly. What disease should be ruled out?

a. crohn’s disease

b. ulcerative colitis

c. Gardner’s disease

d. FAP

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The answer is a: Patients with lateral or anterior fissures need to have Crohn’s disease and anal cancer ruled out. Ulcerative colitis does not involve the anus. Crohn’s disease can involve the anus.

ABSITE KILLER Q&A

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