February 9, 2013
Date: February 9, 2013
Professor: Dr. Monica Berg
Topic: Benign and Malignant Breast Disease
A 29-year old woman presents to an obstetrics clinic asking for a pregnancy test. Her last menstrual period was 7 weeks ago. She took a home pregnancy test and it was positive. She says that this is a highly desired pregnancy, and that she and her partner have been attempting to become pregnant for almost a year. She says that she “has never felt better.” Her pulse is 78/min, BP is 110/70 and she is a febrile. Pelvic examination is within normal limits. The physician notices, however an abnormality on breast examination, which reveals palpable mass in the UOQ (Upper Outer Quadrant). The mass is fixed and ill-defined. The patient says that she noticed that it has recently gotten bigger but didn’t think anything of it because it doesn’t hurt.
- What do you suspect this patient has?
- How should you proceed? What are the important risk factors you need to assess?
- What examinations, labs should you order?
- What results do you expect from these results? Why?
How It Relates To USMLE:
The USMLE is an integrated exam. It is important for students to begin making connections between the information learned in each of the courses you take in the Basic Sciences. This presentation to the High Yield USLME information from Anatomy, Histology, Epidemiology, Immunology, Endocrinology, Pathology, Pharmacology and History and Physical Exam as it relates to Benign and Malignant Diseases of the Breast.