Internal hemorrhoid grade I (from anamnesis, refused to be examined)

Refused to be examined, signed refusal form

Perianal and perineum area: no inflammation, anal sphincter tone: normal, smooth
anal wall, no mass, no bleeding, no tenderness

Menolak diperiksa, tandatangan surat penolakan

Area perianal and perineum: tidak ada inflamasi, tonus sfingter ani: normal,
dinding rektum normal, teraba halus, tidak ada massa, tidak ada
perdarahan, tidak ada nyeri

First day of last menstruation: