Week 1 Discussion
A 25-year-old woman presents for evaluation of right-sided breast pain. She reports the onset suddenly 7 days ago. She has never been pregnant, her menses occur monthly, and she is using combined oral contraceptive pills as her method of contraception. She denies significant medical and surgical history, no change in weight, and has no first degree or family relatives with breast cancer, either maternally or paternally. Her Pap smear 2 years ago was normal, and she is sexually active with one male partner. Her last menstrual period was 3 weeks ago and today is day 22 of her cycle. She denies trauma to the chest area, has no nipple piercings, and no significant breast stimulation during sexual activity. She does not practice monthly breast exams and her last clinical breast exam was 2 years ago. She drinks socially approximately 2 alcoholic beverages per week and does not smoke or use illicit substances.
Using the Master of Science in Nursing Clinical Note format
1. What portion of the physical exam is of most concern for the APRN?
2. Provide three differential diagnoses based on the case presented.