Question
The condition shown in the picture below is best diagnosed by ?
A. Anoscopy.
B. History and superficial clinical examination.
C. PR examination.
D. USG.
Show Answer
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Correct Answer » B
Explanation
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The condition shown in the picture above represents Anal fissures which are are cracks or tears in the anus and anal canal. They may be acute or chronic.
Anal fissure is a linear ulcer of the lower half of the anal canal, thus can he diagnosed by visually inspecting the anal verge with gentle separation of the gluteal cleft.
The history is typical of pain and bleeding with defecation.
Per rectal or proctoscopic examination may trigger severe pain and interfere with the ability to visualize the ulcer.
