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Surgery
A 43-year-old man is seen in his physician's office for severe pain in the perineum. Examination reveals exquisite tenderness in the area to the right side of the anal verge due to a perianal abscess. Rectal examination is refused. What should be the next step in management?
Drainage of the abscess in the office under local anesthesia.
Excision of the vertical fold of Morgagni.
Drainage under general anesthesia and immediate colonoscopy.
CT scan of the abdomen.
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