RT Book, Section A1 Baker, Matthew C. A1 Fefferman, David S. A1 Kelly, CiarĂ¡n P. A2 Henderson, Mark C. A2 Tierney, Lawrence M. A2 Smetana, Gerald W. SR Print(0) ID 56854877 T1 Chapter 39. Anorectal Pain T2 The Patient History: An Evidence-Based Approach to Differential Diagnosis, 2e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-162494-7 LK accessmedicine.mhmedical.com/content.aspx?aid=56854877 RD 2024/04/18 AB A 60-year-old gentleman presents to you with a 3-day history of constant perianal pain and bright red blood seen in the toilet bowl. This morning, he noticed a small swollen mass at his anus when washing in the shower. He experienced a similar episode of pain and bleeding several months ago, which he attributed to hemorrhoids, but his symptoms today are far more severe.