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Anal fissure — PARA MCQ

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ModerateSurgery - ColorectalAnal fissurePARA

A 39-year-old man has severe anal pain during defecation with bright-red bleeding on toilet paper. Examination shows a posterior midline tear. What is the most likely diagnosis?

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Correct answer: DAnal fissure

Severe pain on defecation with a posterior midline tear is typical of an anal fissure.

Reference: NICE CKS: Anal fissure