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Clerkship - Perianal Pain

  1. Develop a differential diagnosis for a patient with perianal pain. (Be sure to include benign, malignant and inflammatory causes.)
  2. Discuss the characteristic history findings for each of the above including:  character and duration of complaint,  presence or absence of associated bleeding,  relationship of complaint to defecation.
  3. Describe physical exam findings for each diagnosis. Indicate in which part of exam (external, digital, anoscopic or proctoscopic) these findings are identified.
  4. Discuss treatment plan for each diagnosis listed in objective one, including non-operative interventions and role and timing of surgical interventions.

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