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Itching with burning pain in the perianal region in a
22-year-old female has been present for several months.
Physical examination reveals dilated and thrombosed exter-
nal hemorrhoids. What underlying process most likely led
to her present condition?
O (A) Rectal adenocarcinoma
O (B) Pregnancy
O © Polyarteritis nodosa
O (D) Filariasis
O (E) Micronodular cirrhosis
bbb

B
bb
GREAT.