Card 9 / 33: A 68 year old woman complains of bright red blood per rectum with extreme pain with defecation. She reports no prior trauma. She had two caesarean sections at the time of the births of her children over 40 years ago. She has intermittent problems with constipation. She has no other medical history. Which of the following findings would you most likely see on physical examination?
A) External skin tags
B) Scarring from perianal fistulae
C) Anal fissure
D) Internal hemorrhoids
E) Pilonidal cyst

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