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Nursing: NR602 Week 1 IHuman
A woman of age 42 tells about two breast lumps for which clinical examination is to be conducted. Breast lumps are sometimes not serious as they go away on their own if they are not painful, mainly because of a benign breast condition. However, in this patients case, the woman has a family history of breast cancer and has been diagnosed personally for her medical breast illnesses. This paper aims to deliver three differential diagnoses and actual prescriptions for the patients final diagnosis, along with patient education prospects.
Three Differential Diagnoses
The three differential diagnoses that could be the reasons for lumps in the patients breasts are as follows:
i. Ductal hyperplasia, for which the patient has a history as well. The overgrowth of the cells with fluid inside, mainly not painful, inside the breast could be possible for the current condition and now had reoccurred. Though it has been studied that ductal hyperplasia does not regularly cause breast lumps, since the patient has a medical history, there are chances of alterations in the breast formation with age progression that could be better detected through a mammogram (American Cancer Society, n.a.).
ii. Anorexia and similar eating disorders could be related to the occurrence of breast lumps since changes in diet could pose serious health risks to the reproductive abilities of a womans body (OBrien et al., 2018). The intervening influences of these associating factors should also be probed before reaching a final diagnosis.
iii. It is appropriate to look for numerous factors like the use of the type of bra, pain in the breast, contraception methods, and hospitalization of the cases patient; however,...
The dosage for this medicine could be 20 mg tablet, twice daily (morning and night) for six months.
Since the patient has not mentioned pain, the home treatment for breast lump or cysts could be done with the help of heat treatment (Stoppler, 2019). A warm wet cloth should be applied to the affected area to remove them gradually. The cloth could be warmed in a microwave to put on the affected area of the breast.
Patient Education
The patient must be educated regarding breast lumps or cysts, especially those with an associated history with Ductal hyperplasia, that fluid-filled lump is not painful (Staradub, 2020). Suppose they occur again when a woman ages 30 years or above. In that case, they must be examined via mammography or ultrasound, through which the physician would be able to understand its physical anatomy.…
References
American Cancer Society. (n.a.). Hyperplasia of the breast (ductal or lobular). https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/hyperplasia-of-the-breast-ductal-or-lobular.html
Cleveland Clinic. (2020, October 24). Tamoxifen and breast cancer. https://my.clevelandclinic.org/health/drugs/9785-tamoxifen
Johns Hopkins. (n.a.). Atypical ductal hyperplasia (ADH). https://www.hopkinsmedicine.org/breast_center/breast_cancers_other_conditions/atypical_ductal_hyperplasia.html
Laino, C. (2009, September 23). Heat therapy fights soft-tissue tumors. Web MD. https://www.webmd.com/cancer/news/20090923/heat-therapy-fights-soft-tissue-tumors
Larsson, S.C., Akesson, A., Bergkvist, L. & Wolk, A. (2010). Multivitamin use and breast cancer incidence in a prospective cohort of Swedish women. The American Journal of Clinical Nutrition, 91(5), 1268-1272. https://doi.org/10.3945/ajcn.2009.28837
National Cancer Institute. (2021, January 6). Tamoxifen Citrate. https://www.cancer.gov/about-cancer/treatment/drugs/tamoxifencitrate
Staradub, V.L. (2020, September 23). Patient education: Common breast problems (beyond the basics). Up-to-Date. https://www.uptodate.com/contents/common-breast-problems-beyond-the-basics
Stoppler, M.C. (2019, August 11). Breast lumps in women. Medicine Net. https://www.medicinenet.com/breast_lumps_in_women/article.htm
Watson, S. (2019, April 1). Are sore breasts a sign of menopause? Heath Line. https://www.healthline.com/health/menopause/sore-breasts-menopause
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