A 5-year-old boy complains of acutely painful defacation with spotting of blood on the toilet paper

[Kathryn]

#april2020mccqe1

A 5-year-old boy complains of acutely painful defacation with spotting of blood on the toilet paper. Which one of the following is the most likely diagnosis?
(A) Intussusception
(B) Anal fissure
(C) Meckel diverticulum
(D) Juvenile polyp
(E) Henoch-Schönlein purpura

 

[Tiffany Wong]

(E) Henoch-Schönlein purpura