Case 1

  1. 1. Question

    An 18-year-old male presents to the ED with buttock pain. On examination he has a temperature of 38.2°C and is tender over the right buttock and on rectal examination but there are no other abnormal findings.

    Which of the following initial actions would be appropriate?

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  2. 2. Question

    In theatre, an ischiorectal abscess is incised and drained. Some months later, the patient presents with persistent small amounts of rectal discharge and bleeding. You suspect a fistula.

    Which of the following investigations would be appropriate?

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  3. 3. Question

    A 35-year-old male presents to the ED with rectal bleeding.

    Which of the following is highly suggestive of haemorrhoids?

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