Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care. Talk about what questions you would ask the patient, what parts of a physical exam you would include, what other tests you would want to have done, a possible and working diagnosis, a treatment plan that includes complementary and over-the-counter therapies, referrals, and any other team members you would need to care for the patient.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. Please refer to evidence-based guidelines to support your decision-making.
CASE STUDY: A 50-year-old female complains of spontaneous nipple discharge from her left nipple. She has no personal or family history of cancers. She is G3 P3, all uncomplicated pregnancies and vaginal deliveries. She continues to have regular menses and is not pregnant.
What additional information do you need to ask this patient?
Describe the most likely benign and pathologic conditions (one of each) that could be causing this symptom.
What are your treatment options?
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