A patient has symptoms of rectal bleeding and vague anal discomfort. Proctoscopy reveals dilated veins in the mucous membrane of anus Which condition is described?

A. Endometriosis:

Endometriosis causes chronic pelvic pain but doesn't typically present with purulent discharge, fever, or foul-smelling discharge.

B. Pelvic inflammatory disease (PID):

PID is an infection of the reproductive organs, often caused by untreated sexually transmitted infections. Symptoms like acute pelvic pain, fever, purulent vaginal discharge, and rebound pain are characteristic of PID.

C. Uterine leiomyomas:

Leiomyomas (fibroids) can cause pelvic pain but are not associated with infection, fever, or purulent discharge.

D. Polycystic ovary syndrome (PCOS):

PCOS does not cause acute infection-like symptoms (fever, purulent discharge) as seen in PID.

A. A general low count of red blood cells:

This describes anemia, not hyperlipidemia.

B. Bulging or dilation of a portion of an arterial wall:

This describes an aneurysm, not hyperlipidemia.

C. Elevated levels of lipids in the bloodstream:

Hyperlipidemia means high blood levels of lipids (such as cholesterol and triglycerides).

D. A lack of red blood cell membrane proteins:

This is a description of certain types of hemolytic anemia, not hyperlipidemia.