Hemorrhoids Quiz: Ace Your Exams
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A 58-year-old woman presents for evaluation of bloody bowel movements. Over the past five months, the patient has had recurrent episodes of bright red blood covering her stool and associated perianal itching. She has not experienced unintentional weight loss, decreased appetite, pain with defecation, or a change in stool caliber. The patient works as a truck driver, and her diet consists mainly of fast food. Her past medical history is notable for hypertension. Temperature is 37.5°C (99.5°F), blood pressure is 145/80 mmHg, and pulse is 90/min. The external anorectal examination is unremarkable. Endoscopy reveals the following findings at the anorectal junction. What is the most likely diagnosis?


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