Breast Assessment: Student name:
Elizabeth Bancroft
Breast Assessment
Pt. Initials: MA
Gender: female
Age: 25
Race: Caucasian
S: (cc, HPI, PMH, FH, SH, ROS)
Chief complaint: “I have a lump but it doesn’t hurt”
HPI:
What caused you to notice the lump?
Boyfriend noticed. I felt it then too upon self exam.
When did you first notice it?
Last Monday.
Where is it located?
Right breast in the middle
Is it always present?
Yes
Does any factor seem to change the size or location of it?
No, remains stable in size and location
What have you done since you noticed it?
Nothing. Came to see you
Any meds since discovering it?
No meds for it. Just take allergy meds.
Have you noticed anything else that accompanies it?
Nope
How does it feel upon self exam?
Soft, movable kind of a round ball shape in the center.
Elizabeth Bancroft
Breast Assessment
Pt. Initials: MA
Gender: female
Age: 25
Race: Caucasian
S: (cc, HPI, PMH, FH, SH, ROS)
Chief complaint: “I have a lump but it doesn’t hurt”
HPI:
What caused you to notice the lump?
Boyfriend noticed. I felt it then too upon self exam.
When did you first notice it?
Last Monday.
Where is it located?
Right breast in the middle
Is it always present?
Yes
Does any factor seem to change the size or location of it?
No, remains stable in size and location
What have you done since you noticed it?
Nothing. Came to see you
Any meds since discovering it?
No meds for it. Just take allergy meds.
Have you noticed anything else that accompanies it?
Nope
How does it feel upon self exam?
Soft, movable kind of a round ball shape in the center.
