I Human Rachel Hardy; Breast Disorder case study Latest (may 2023).

I Human Rachel Hardy; Breast Disorder case study Latest (may 2023). I Human Rachel Hardy; Breast Disorder case study Latest (may 2023). Correct Preview As Per marking Scheme With Actual Answers. I Human Rachel Hardy; Breast Disorder case study Latest (may 2023). Correct Preview As Per marking Scheme With Ac tual Answers. CC: “I can feel two lumps in my breast.” HPI: R.H. is a 42 year old female who presents with a chief complaint of two right-sided breast lumps that were self-detected. Patient's mother was diagnosed with breast CA at age 48, currently still living. Patient has a breast biopsy 3 years ago which showed atypical ductal hyperplasia. Patient denies any breast pain, discharge, bleeding, skin changes, palpable lymph nodes, or fevers. She reports a recent 11lb weight loss over the past 3 months due to unknown cause. Physical exam shows 2 palpable breast masses, one 2.5cm mass in the upper quadrant of the right breast, and another 2cm mass in the right breast. A right axillary lymph node that is hard and mobile is also palpable. Past Medical History - Chronic idiopathic pancreatitis - Hypothyroidism - Atypical ductal hyperplasia Past Surgical History Pancreas sx last year Social History - Tobacco use: 1-pack year history - Drug use: denies - Alcohol use: 2 glasses of wine per day starting at age 18; quit 6 years ago - Marital status: never married - Current/previous occupation: disabled due to chronic pancreatitis - Sexual orientation: female - Sexually active: not sexually active for past 12 years - Living situation: currently resides at home with 2 children Family History Mom- alive, breast CA at 48 Dad – alive, healthy Allergies No known drug allergies Active Medications Levothyroxine 25 mcg Q AM Pancrealipase 15000 units 2 tab before each meal Oxycodone 5mg 1 tab PRN Q4 pain Amitriptyline 25mg 1 PO Q AM ROS: General: Patient denies fevers, weight gain or loss, loss of appetite, night sweats, fatigue, or changes in sleeping. HEENT: Denies double or blurred vision, photophobia, discharge from eyes, or vision loss. Denies any abnormal nasal discharge, pain, or epistaxis. Denies hearing loss or tinnitus. CV: Denies any chest pains, palpitations or racing heart, bounding pulses, or edema. Respiratory: Denies any SOB, difficulty breathing, wheezes, or pain with inhalation/exhalation.