Ms. LG is a 35-year-old white female G3P3 who presents today with a small lump to her left breast. She discovered this yesterday in the shower. She states that she has never had a mammogram because she is only 35 years old. She verbalized being very concern as her grandmother had breast cancer with a lumpectomy in 2015. Her paternal aunt was diagnosed with breast cancer 5 years ago. Her daughters are 12 and 14. Her son is 9 years old. All 3 children were exclusively breastfed until they turned a year old. Beside gestational diabetes with her youngest child, she has no significant medical history. She has no drug allergies but is allergic to shrimp. She does not smoke but occasionally consumes an alcoholic beverage on social events. Her eats a healthy diet. She is 5â7 and weighs 146 lbs. She has a yearly pap at this (OB/GYN) office. She visits her PCP annually. She takes a daily multivitamin and prn Tylenol or the occasional otc cold medication whenever symptom arises. The patient was examined today. A firm but nontender near the surface breast lump was felt. A needle biopsy was taken to be sent for pathology studies. The aspirated content was thick and opaque.
1. List at least 3 differential diagnoses with rationales.
2. What is the final diagnosis and rationale?
3. What screenings/diagnostics and treatment plans needed?
4. What is/are her risk(s) of developing breast cancer?
Ms. LG is a 35-year-old white female G3P3 who presents today with a small lump t
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