Question 410
0
A 37-year-old woman presents to the clinic reporting pain in the anal area. She says that the pain is present for at least 30–60 minutes after every time after she completes a bowel movement. Physical examination finds no anal fissure and mild external hemorrhoids. Digital rectal exam reveals a tight anal sphincter and tenderness with traction on the puborectalis muscle. What is the most likely diagnosis?
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Citation
"Question 410." CARSEP XII, ASCRS U, www.ascrsu.com/ascrs/view/CARSEP XII/3094410/28/Pelvic_Floor. Accessed 22 April 2026.
Question 410. CARSEP XII. https://www.ascrsu.com/ascrs/view/CARSEP XII/3094410/28/Pelvic_Floor. Accessed April 22, 2026.
Question 410. In CARSEP XII https://www.ascrsu.com/ascrs/view/CARSEP XII/3094410/28/Pelvic_Floor
Question 410 [Internet]. In: CARSEP XII. [cited 2026 April 22]. Available from: https://www.ascrsu.com/ascrs/view/CARSEP XII/3094410/28/Pelvic_Floor.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Question 410
ID - 3094410
BT - CARSEP XII
UR - https://www.ascrsu.com/ascrs/view/CARSEP XII/3094410/28/Pelvic_Floor
DB - ASCRS U
DP - Unbound Medicine
ER -
CARSEP XII

