A.B. is a pleasant 44-year-old female presenting to the Emergency Room for progressive symptoms in her left breast. She has a past medical history of HTN, COPD, and Obstructive Sleep Apnea

A.B. is a pleasant 44-year-old female presenting to the Emergency Room for progressive symptoms in her left breast. She has a past medical history of HTN, COPD, and Obstructive Sleep Apnea and uses CPAP at home; she is obese with a BMI of 35 and a former smoker, who quit 10 years ago. The patient reports that symptoms start with the development of a tender lump in her left axilla, followed by the inward of the nipple. Additionally, she reports unintentional weight loss and fatigue for 2 consecutive months. She denies any trauma or infection to the breast. Medications that she is taking include losartan and aspirin once a day and St. John’s Wart. 

At least 2 references peer review less than 5 years old 

1. Patient Education

2. Analysis (Diagnosis) Breast cancer