You are performing a focused history on a patient who is complaining of rectal pain and itching. He reports small amounts of blood on the toilet paper after having a bowel movement. You inspect the anal area and note a large, red, soft protrusion next to the anus. This is called a(n):

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The symptoms described, including rectal pain, itching, and bleeding after a bowel movement, along with the physical finding of a large, red, soft protrusion next to the anus, are indicative of an external hemorrhoid. External hemorrhoids are located under the skin around the anus and can be felt or seen as bulges or lumps.

You Are Performing a Focused History on a Patient Who