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Breast pain

  • Common ddx

    • fibrocystic change, fat necrosis of the breast, mastitis, lactational issue
  • Serious ddx

    • cardiac issue, breast cancer
  • Labs

    • ultrasound if < 30 yo
    • mammogram if > 30 yo
    • FNA if cystic
    • core or excision biopsy if solid
    • ductogram if discharge
    • culture if infection
  • Other ddx

    • gynecomastia of puberty, thelarche, breast abscess, breast trauma
  • HPI/ROS

    • onset
    • alleviation, aggravation
    • location
    • pain
    • discharge
    • fever
  • PMH, PSH, PGynH

  • FH

    • breast cancer, ovarian cancer
  • SH

  • Meds

  • Allergies

  • Px

    • vitals
    • inspection, skin overlying lesion
    • palpation: mass, tenderness
    • location

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.