Question 20

20.  Your patient is a 50 year old male that presents with severe rectal pain with the lesion shown below.  He has noted some bright red blood with wiping at times.  The pain started today.

Based upon the above above data, which of the following is the best management option?

A.  Start the patient Anusol HC cream

B.  Start the patient of bactrim and keflex

C.  Refer the patient for a biopsy

D.  Incision and drainage of the thrombosed external hemorrhoid