NR602 WEEK 1 IHUMAN CASE STUDY RH 42 Y/0 CC “TWO
RIGHT BREAST LUMPS” 2023 VERSION
Week 1 NR602
Ihuman Case Attempt one
42Y/o 5’5 149lb
CC: Two
... [Show More] right breast lumps
RH is a 42 year old female that presents with complaints of two right sided breast lumps.
Patients mother was diagnosed with breast CA at age 48, currently still living. patient breast
biopsy showed atypical ductal hyperplasia. she denies 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.
Questions asked
• How can I help you today?
• Do you have any other symptomsthat we should discuss
• When did your problems with your breast start
• Is there pain the site of the lump
• Change in size
• Is the lump movable
• Any lumps in neck
• Change in medications
• No OTC medications
• Vaccinations
• Breast problem better or worse
• Weight loss
• Symptoms of Fatigue/
• Chest pain or discomfort
• Depression question
• Use of Birth control
• Mammogram
• Nipple change
• Pain anywhere
• Changes in itchy scalp
• Problems with headache
• Muscle pain /joints
• Change in ability
• Nose bleeds
• Breast self exam
• Tender breasts
• Early menopause
• Hypothyroid
• Pancreatic
2
Ms. Rachael Hardy is a 42-year-old woman who presents with two self-detected breast
lumps. She had a prior breast biopsy three years ago that identified an atypical ductal
hyperplasia. She denies breast discharge, bleeding, overlying skin changes,
lymphadenopathy, fevers or past breast trauma. She reports an 11-pound weight loss
due to diminished appetite over the last three months. Her mother was diagnosed with
breast cancer at age 48 (I-Human, n.d.).
Discuss the questions that would be important to include when interviewing a
patient with this issue.
Inquire about pain. Note onset, duration, location, and relation to menstrual period
and if pain is constant or intermittent? What has the patient tried to alleviate the pain?
Note what has worked. Inquire about the patient’s family history of breast pain, lumps,
or cancer. Has there been trauma such [Show Less]