Patient Biodata
, Field Information
Name Sandra
Age 25 years
Gender Female
Height 5'2" (157.5 cm)
Weight 120 lbs (54.4 kg)
BMI 21.9 (normal)
Occupation Not specified (assume student/employed)
Vitals BP 120/80, HR 70, RR 18, Temp 36.8°C, SpO₂ 95%
Key Labs Progesterone & HCG = 0.1 mcg/L (non-pregnant)
Relevant History Breast cancer (prior diagnosis), oral contraceptive use x 10 years
History
Chief Complaint
“I found a lump in my left breast about two weeks ago. No pain, but my nipple looks
different.”
History of Present Illness (HPI)
The patient is a 25-year-old female with a known history of breast cancer (diagnosed
at age 23? – specify if known). She presents for a comprehensive breast and nipple
, Field Information
Name Sandra
Age 25 years
Gender Female
Height 5'2" (157.5 cm)
Weight 120 lbs (54.4 kg)
BMI 21.9 (normal)
Occupation Not specified (assume student/employed)
Vitals BP 120/80, HR 70, RR 18, Temp 36.8°C, SpO₂ 95%
Key Labs Progesterone & HCG = 0.1 mcg/L (non-pregnant)
Relevant History Breast cancer (prior diagnosis), oral contraceptive use x 10 years
History
Chief Complaint
“I found a lump in my left breast about two weeks ago. No pain, but my nipple looks
different.”
History of Present Illness (HPI)
The patient is a 25-year-old female with a known history of breast cancer (diagnosed
at age 23? – specify if known). She presents for a comprehensive breast and nipple