Gastrointestinal history 7
Gastrointestinal history 7
Written by Moriom Begum
Diagnosis:
Anal fissure (fresh blood, pain during bowel movement, previous constipation)
Other differentials:
Haemorrhoids (fresh blood, previous constipation but less likely due to sharp pain during bowel movement and no lumps or pruritus)
Inflammatory bowel disease (possible due to family history, may present with perianal disease, blood in stool but less likely due to acute history, constipation, blood is on wiping and no other symptoms)
Mark scheme for history taking can be found below
