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1 pages/≈275 words
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Health, Medicine, Nursing
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Breast Nodule/SBE Assignment
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Breast Nodule/ SBE Assignment
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Breast Nodule/ SBE Assignment
Question 1
When a patient presents with a breast nodule, it is essential to gather comprehensive information through the History of Present Illness (HPI) and physical examination to accurately document and assess the nodule. The table below outlines the key information needed during the HPI and the physical examination, as well as specific details to document about the breast nodule.
History of Present Illness (HPI) (Potter, 2023).
Examination Information
(Potter, 2023).
Documentation Information (Potter, 2023).
* Onset:
Duration: "When did you first notice the lump?" "How long have you been aware of it?"
* Character:
Description: "Does the lump feel soft or hard?" "Is it smooth or irregular?" "Is it painful?
* Radiation:
Pain distribution: "Does the pain from the lump move anywhere else?"
* Associated Symptoms:
Presence of other symptoms: "Are there any other symptoms associated with the lump?"
* Time Course:
Changes over time: "Has the lump changed in size or feel over time?" "Is the change related to your menstrual cycle?"
* Exacerbating/Relieving Factors:
Triggers and relief: "Did the lump develop after a specific incident?" "Does anything make it better or worse?"
* Severity:
Pain assessment: "On a scale of 0-10, how severe is the pain?"
* Key Symptoms:
Nipple discharge, inversion, erythe...
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