Respond to the following discussion questions in at least 100- 200-250( what ever fits) words per response. Please use at least two references per question. One has been provided for you
Post # 1—Jerusha Seung -HealthAssess A 32-year-old female presents for an evaluation of a lump in her right breast that she found on breast self-examination. The lump is found to be 2cm in size, firm, and mobile. No Adenopothy noted. <What are two questions you would ask this patient?
I would ask several questions concerning the duration of symptoms, presence or absence of nipple discharge, any changes in size, and association with the menstrual cycle will aid in deciding next steps for diagnosis. <What are two risk factors would you want to assess for?
- Do you have any women in your family who have been diagnosed with breast cancer at an early age or have inherited genetic mutations BRAC-1 and BRAC-2?
- Does she have high breast tissue density?
Compared to women with a low breast density, women with dense breast tissue are somewhat more likely to get breast cancer. But according to current research, having dense breast tissue doesn’t increase the risk of dying of breast cancer.
Informed Health Online [Internet]. (2017) Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG). Breast cancer: What role does breast density play? ).Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK447118/
Post #2–Britney Hanshaw HealthAssess A 32-year-old female patient presents with a firm, mobile nodule, 2 cm in size, in her right breast, that she found during breast self-examination. No adenopathy noted. The two most important questions that should be asked include how long ago the lump was noticed, and if there have been any breast or lump changes since it was first noticed. According to Bickley (2017), “if your patient reports a lump or mass, identify the precise location, how long it has been present, and any change in size or variation within the menstrual cycle. Ask if there has been any change in breast contour, dimpling, swelling, or puckering of the skin over the breasts” (p. 422). The patient should also be asked if she has had any pain in the affected area, and if so, ask her to explain the pain experienced. Additionally, ask her if she has had any drainage or discharge from her nipple. If so, have her to explain it in detail, such as when it happens, if it is bilateral or unilateral, its color, consistency, quantity, and whether or not it is spontaneous (Bickley, 2017).
The biggest risk factors for breast cancer are age and being a female. We already know that the patient is 32 years old and female. Other risk factors need to be assessed to determine the likelihood of this patient having breast cancer. One risk factor that you would want to assess for in this particular patient includes family history. More specifically, Bickley (2017) states that the patient is at an even higher risk if the patient has had two or more close family members in the same lineage or two first-degree relatives who were diagnosed at an early age. Another risk factor to assess is the use of cigarettes or alcohol, as these have been associated with breast cancer, as well as all cancers.
Reference:
Bickley, L. S. (2017). Bates’ guide to physical examination and history-taking, 12th egitinn Philarielnhia•
Wolters-Kluwer
Sample Solution
