NR602 I human Latest exam graded-rated A+
Week 1 NR602
Ihuman Case Attempt one
42Y/o 5’5 149lb
CC: Two 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 symptoms that 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
Page 1|6
, • 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
mrs. 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 as being hit or having rough experience during sex? Do her breasts
hurt during or after exercise such as running, aerobics, soccer, or basketball? Does she wear a
good, supporting, properly fitted bra generally and for sports? Has she had any breast surgery
or biopsy? Note medication history such as oral contraceptives or phenytoin (Cash & Glass,
2014).
Describe the clinical findings that may be present in a patient with this
issue.
Upon inspection the breasts may have masses; dimples; changes in the skin; and/or changes in
the way the nipples are pointed (Cash & Glass, 2014).
Page 2|6
Week 1 NR602
Ihuman Case Attempt one
42Y/o 5’5 149lb
CC: Two 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 symptoms that 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
Page 1|6
, • 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
mrs. 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 as being hit or having rough experience during sex? Do her breasts
hurt during or after exercise such as running, aerobics, soccer, or basketball? Does she wear a
good, supporting, properly fitted bra generally and for sports? Has she had any breast surgery
or biopsy? Note medication history such as oral contraceptives or phenytoin (Cash & Glass,
2014).
Describe the clinical findings that may be present in a patient with this
issue.
Upon inspection the breasts may have masses; dimples; changes in the skin; and/or changes in
the way the nipples are pointed (Cash & Glass, 2014).
Page 2|6
