Evaluation of a lump
A 42-year-old woman presents for evaluation of a lump that she noticed in her right breast on self-examination. She says that she does not examine herself often, but that she thinks that this lump is new. She has not had any nipple discharge and has no breast pain, although the lump is mildly tender on palpation. She has never noticed any masses before and has never had a mammogram. She has no history of breast diseases and has never had a biopsy. There is no history of breast cancer in the family. She takes oral contraceptive pills regularly, but no other medications. She does not smoke cigarettes or drink alcohol. She has never been pregnant. On examination, she is a well-appearing, but somewhat anxious, thin woman. Her vital signs are within normal limits. Her general physical examination is normal. Examination of her breasts reveals no skin dimpling or retraction and no nipple discharge. In the lower outer quadrant of the right breast there is a 2-cm, firm, well-circumscribed, movable mass that is mildly tender. No other masses are felt, but the breast tissue is noted to be firm and glandular throughout. No axillary, supraclavicular, or cervical lymphadenopathy is appreciated.
Evidence-based Plan (Mgmt and Treatment) Detailed and specific management and treatment plan that includes orders, diagnostics, and discharge planning. I will attach the original assignment and the approach I did so far. I only need this from you “Evidence-based Plan (Mgmt and Treatment) Detailed and specific management and treatment plan that includes orders, diagnostics, and discharge planning. “
