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iHuman Case Studies Bank
1. Betty Burns
2. Aaron Preston
3. Cardiovascular and Hematologic Disorders in Children
4. Common Pediatric Illnesses
5. Jose Garcia (SBAR)
6. Alfred Manning
7. Amka Oxendine
8. Darrell Johnson
9. Gerald Green
10. Jamie Johanson
11. Luciana Gonzalez
12. Max Boardman
13. Shamjibhal Bhai
14. Melissa Frank (SBAR)
15. Kaede Sato (ISBAR)
16. Telehealth and iHuman Notes
17. Ben Bundy Virtual Case
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Betty Burns iHuman Case Study
Betty burn was a member of the group of warriors of hope. This group consisted of breast cancer
fighters who came together to give hope to each other. Unfortunately, Betty Burns battled hard
and passed away in August 2012. Breast burn is a burning sensation in one’s breast caused by
functional, extrinsic or uncontrolled conditions. The burning pain is experienced inside the
breast. However, because of the breast innervations, the pain might radiate to the chest, back,
arm and neck.
History
Historically, the menstrual cycle of a woman (some days to menstrual flow) causes the
breasts to increase in volume. The degree of tension, discomfort, and sensation is variable in
women during this time but disappears after menstruation is over. However, persistence and
severity of such symptoms is the primary reason premenopausal individuals look for medical
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check-ups for breast burns. Such patients are often erroneously diagnosed for fibrocystic
diseases.
Physical examination
A physical examination of the breast is done physically by a medical practitioner. If the
doctor discovers that there is a lump in the breast, an abnormal thickening of the breast, or some
pain at a specific area of the chest, he/she should carry out an X-ray to know what it is.
Differential diagnosis
In the differential diagnosis, several considerations should be diagnosed. Circumscribed
breast wounds such as fibroadenoma and in cysts can be diagnosed. This indicates that a
fibrocystic disease might be emerging. It is done by a radiologist who must be familiar with the
difference between benign and malignant disease. Fibroadenoma disease has benign tumors
made of epithelial and stromal components. Young women with complex fibroadenoma tumors
are likely to have cancer unlike those without (Shermis, et al 2017).
An examination done on fibroadenoma can indicate a palpable mass of the patient. In
young and pregnant women, ultrasonography is used whereas mammography suits older and
patients that are not expectant. However, patients below 30 years best suit the US because she is
not exposed to radiations and also, the possibility of fibroadenoma is high.
Ranking of the differential diagnosis
Another differential diagnosis is the skin inflammation that might be as a result of
abscesses and mass in the breast. Most women that have breast mass are likely to have breast
cancer. The masses can affect any breast tissue like the duct, the lobules, and the overlying skin.
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Fibrocystic is the common breast mass as indicated by routine autopsy. However, inflammatory
carcinoma is aggressive and has the worst prognosis (Balleyguier, et al 2015).
Test selection
In test selection, several tests can be selected to evaluate breast burns. First, the doctor
can carry out a clinical exam on the patient's breast. He/she can check for any changes in the
chest by observing the lymph nodes, the neck and the arms of the patient. The doctor will listen
to the heart and lungs and determine if other conditions in the chest and abdomen are the causes
of the pain. If the results do not show any unusual circumstances, no additional tests would be
carried out.
Breast biopsy and ultrasound tests can be used as well. The tests are used if there is a
suspicion for breast lumps and breast thickening. In a biopsy, the doctor takes a sample of the
breast tissue for laboratory analysis. In ultrasound, sound waves are used to produce breast
image, with a focus on the area of pain. The results are then examined before diagnosis
(Lipscomb, et al 2016).
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iHuman Case Studies Bank
1. Betty Burns
2. Aaron Preston
3. Cardiovascular and Hematologic Disorders in Children
4. Common Pediatric Illnesses
5. Jose Garcia (SBAR)
6. Alfred Manning
7. Amka Oxendine
8. Darrell Johnson
9. Gerald Green
10. Jamie Johanson
11. Luciana Gonzalez
12. Max Boardman
13. Shamjibhal Bhai
14. Melissa Frank (SBAR)
15. Kaede Sato (ISBAR)
16. Telehealth and iHuman Notes
17. Ben Bundy Virtual Case
Downloaded by: phillipalvarez18 |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Betty Burns iHuman Case Study
Betty burn was a member of the group of warriors of hope. This group consisted of breast cancer
fighters who came together to give hope to each other. Unfortunately, Betty Burns battled hard
and passed away in August 2012. Breast burn is a burning sensation in one’s breast caused by
functional, extrinsic or uncontrolled conditions. The burning pain is experienced inside the
breast. However, because of the breast innervations, the pain might radiate to the chest, back,
arm and neck.
History
Historically, the menstrual cycle of a woman (some days to menstrual flow) causes the
breasts to increase in volume. The degree of tension, discomfort, and sensation is variable in
women during this time but disappears after menstruation is over. However, persistence and
severity of such symptoms is the primary reason premenopausal individuals look for medical
Downloaded by: phillipalvarez18 |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
check-ups for breast burns. Such patients are often erroneously diagnosed for fibrocystic
diseases.
Physical examination
A physical examination of the breast is done physically by a medical practitioner. If the
doctor discovers that there is a lump in the breast, an abnormal thickening of the breast, or some
pain at a specific area of the chest, he/she should carry out an X-ray to know what it is.
Differential diagnosis
In the differential diagnosis, several considerations should be diagnosed. Circumscribed
breast wounds such as fibroadenoma and in cysts can be diagnosed. This indicates that a
fibrocystic disease might be emerging. It is done by a radiologist who must be familiar with the
difference between benign and malignant disease. Fibroadenoma disease has benign tumors
made of epithelial and stromal components. Young women with complex fibroadenoma tumors
are likely to have cancer unlike those without (Shermis, et al 2017).
An examination done on fibroadenoma can indicate a palpable mass of the patient. In
young and pregnant women, ultrasonography is used whereas mammography suits older and
patients that are not expectant. However, patients below 30 years best suit the US because she is
not exposed to radiations and also, the possibility of fibroadenoma is high.
Ranking of the differential diagnosis
Another differential diagnosis is the skin inflammation that might be as a result of
abscesses and mass in the breast. Most women that have breast mass are likely to have breast
cancer. The masses can affect any breast tissue like the duct, the lobules, and the overlying skin.
Downloaded by: phillipalvarez18 |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Fibrocystic is the common breast mass as indicated by routine autopsy. However, inflammatory
carcinoma is aggressive and has the worst prognosis (Balleyguier, et al 2015).
Test selection
In test selection, several tests can be selected to evaluate breast burns. First, the doctor
can carry out a clinical exam on the patient's breast. He/she can check for any changes in the
chest by observing the lymph nodes, the neck and the arms of the patient. The doctor will listen
to the heart and lungs and determine if other conditions in the chest and abdomen are the causes
of the pain. If the results do not show any unusual circumstances, no additional tests would be
carried out.
Breast biopsy and ultrasound tests can be used as well. The tests are used if there is a
suspicion for breast lumps and breast thickening. In a biopsy, the doctor takes a sample of the
breast tissue for laboratory analysis. In ultrasound, sound waves are used to produce breast
image, with a focus on the area of pain. The results are then examined before diagnosis
(Lipscomb, et al 2016).
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