underd0gWhy isn't this HPV given the sexual history? +1
prosopagnosiaAnal fissure and Anal carcinoma - would present with rectal bleeding which our patient denies.
HPV could lead to anal carcinoma and the image isn't similar to the morphology of condylomata acuminata.
External hemorrhoid is the only one that presents with rectal pain (due to somatic innervation from the pudendal nerve) and no bleeding. +1
chaosawaitsThe answer is not HPV because papillomas are typically not that vascular. It's much more likely to be external hemorrhoid, despite the lack of bleeding. Although hemorrhoids can bleed, not all do.+
submitted by โhungrybox(1277)
A: Anal carcinoma | Would not be so acute
B: Anal fissure
C: External hemorrhoid | Correct!
D: Human papillomavirus infection
E: Skin tag
picture from the problem
picture showing most answers
*couldn't find a good image for anal carcinoma, if someone wants to share one that would be great