SOLVED2666

A young adult female presents with a “lump” around her anus. She tried some OTC “hemorrhoid cream” but it has not helped. She noticed the lump about two weeks ago. She denies pain but it is uncomfortable when she moves her bowels. She has not seen her GYN in several years and says she occasionally has unprotected vaginal intercourse but that her LMP is current. Her vitals are normal. On exam, there is a 1cm flesh-colored, pedunculated, non-tender, moist papule at the six o’clock position at the anal opening. There is no bleeding. Which of the following is the best course of action for this patient? A. Prescribe Anusul HC suppositories B. Refer to a surgeon C. Refer to GYN for anal and cervical cytology D. Remove the lesion using a tight ligature around the base
SCIENCE
HEALTH SCIENCE
NURSING

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