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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?
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?
A 35-year-old male presents to the ED with rectal bleeding.
Which of the following is highly suggestive of haemorrhoids?