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Nipple pain

  • Common ddx

    • gynecomastia of puberty, thelarche, lactational issue
  • Serious ddx

    • breast cancer, Paget disease of the nipple
  • Labs

    • ductogram if bloody discharge
    • imaging and biopsy if suspect cancer
  • Other ddx

    • nipple abscess, nipple trauma/piercing/infection
  • HPI/ROS

    • onset
    • alleviation, aggravation
    • lactation status
    • discharge
    • fever
    • mass
  • PMH, PSH, PGynH

  • FH

    • breast cancer, ovarian cancer
  • SH

  • Meds

  • Allergies

  • Px

    • vitals
    • inspection, skin overlying nipple
    • palpation: mass, tenderness
    • discharge

  • 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.