 5 gm/dL,Hct = 32%,WBC = 3.9 thou/µL,Platelets = 120,000 thou/µL,76% neutrophils,19% lymphocytes,1% eosinophils,4% monocytes,ALT = 82 U/L,AST= 90 U/L,Erythrocyte sedimentation rate = 90,Electrolytes = normal,Gram stain of anal swab:  numerous WBCs,DIFFERENTIAL DIAGNOSIS: , This patient is presenting with acute rectal pain with bleeding and anal discharge. 
5 gm / dL , Hct = 32%,WBC = 3.9 thou/µL , Platelets = 120,000 thou/µL,76 % neutrophils,19 % lymphocytes,1 % eosinophils,4 % monocytes , ALT = 82 U / L , AST= 90 U / L , Erythrocyte sedimentation rate = 90,Electrolytes = normal , Gram stain of anal swab : numerous WBCs , DIFFERENTIAL DIAGNOSIS : , This patient is presenting with acute rectal pain with bleeding and anal discharge .