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COLORECTAL DISEASE
Case #6 -
A 34 year old with pain on bowel movements

DISCUSSION QUESTIONS:
3.) Since the patient has pain, what is the best way to examine her and confirm the diagnosis? What is the most likely location of an anal fissure?

Examination is best done by spreading the buttocks open well and visualizing a tear in the anoderm. The most likely location of an anal fissure is in the posterior midline.  
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