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NBME 20 Answers

nbme20/Block 3/Question#45

A 39-year-old man reports bright red spots on the ...

Constipation

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submitted by hayayah(377),

Large swollen rectal veins --> patient has external hemorrhoids. Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. The most common cause of external hemorrhoids is repeated straining while having a bowel movement.