A 56-year-old homosexual man presents with itching, anorectal pain, and tenesmus of 1 week's duration. Rectal examination reveals generalized tenderness without frank prostate abnormalities. Which of the following is most likely?
A) Acute prostatitis
B) External hemorrhoid
C) Proctitis
D) Colon cancer
C) Proctitis
The combination of itching, anorectal pain, and tenesmus in a homosexual man should make one consider proctitis. This may be caused by a sexually transmitted infection such as gonorrhea, chlamydia, or lymphogranuloma venereum. A careful history should be taken, and counseling regarding protection from these diseases should be offered. While pain and itching are associated with hemorrhoids, the internal tenderness on examination makes this less likely than proctitis in this patient. Acute prostatitis does not usually cause itching and is usually associated with examination findings. Most colon cancers do not cause any symptoms, which is why screening for asymptomatic disease is so important.
You might also like to view...
During the Middle Ages, the concept of the ______________ emerged, which was a place of refuge that welcomed the travelers, the poor, and the sick
Fill in the blank(s) with correct word
The nurse is reading a research report and notices that the stated N for the study is 95. In the reports section, data are provided for 87 subjects. What is the most important question for the reader to ask about this study?
1. What is the accessible population? 2. Does the sample size that is left represent the population adequately? 3. How is dropout handled in the study? 4. Did bias in the selection of participants result in dropout?
The staff educator is orienting new nurses at the local substance abuse clinic. Today she is discussing the need for treatment by the population that abuses alcohol and drugs
What percentage of those requiring treatment would the staff educator cite who actually receive treatment? A) 10% B) 11% C) 12% D) 13%
Citrus fruits, strawberries, melons, and dark green vegetables are all sources of vitamin ________.
Fill in the blank(s) with the appropriate word(s).