684L Week 5
1. Look for an article that discusses Breast Health or Breast Cancer or Breast Screening
Make sure the article is not more than 5 years old. Please submit a PDF copy of the article (not just the link). Answer the following questions based on the article that you are using.
a. Why is breast health part of a routine medical visit? Why is it more commonly diagnosed nowadays?
b. Provide a rational or (your own opinion) on why different organizations have different breast screening guidelines. Please make sure your article reflects your thoughts.
c. Any recent changes or improvements in protocols regarding breast health/breast screening?
PF note
–
27 year old female in clinic complaining of a lump in the right breast for the last 3 days.
Pt had a vaginal delivery 4 weeks ago and is currently breast feeding and bottle feeding.
She noted breast pain on the right and slight pain on the left, but with her exhaustion,
she seems very frazzled.
G1P1
Denies cigarette smoker, social alcohol drinker, denies marijuana use and other illicit
drugs
Same partner since marriage since 2 years ago
Subjective Data
– HPI- menarche age 13
– Use OLDCART
– Gyn/OB history- Med History –
– Social Hx
– Family Hx- What are pertinent questions do you need to ask?
– Include ROS
Objective Data
– Include vital signs
– Include point of care testing (POCT) (if appropriate)
– Include an appropriate exam
– Any other screening you want to perform?
Assessment
– Include ICD 10 code
– Include DDX
Plan
–
Include medication (if appropriate)
Include education, teaching, follow up, and referral (if appropriate)
What other education or support do you want to provide or include?