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Another tricky female “breast path” question Say you know a 44-year-old woman who hit her breast with a pole while raking leaves. She noticed a lump in that area at the time, and 2 weeks later the lump was still present. She then sought medical advice. She has a 3-cm, hard mass deep inside the affected breast, and some superficial ecchymosis over the area. There is little pain. It seems highly likely there may be a hematoma. You present the case to the attending. She asks what you wish to do. Pick from: 1-Ice packs, prevention of further trauma 2-Hot packs, with NSAIDS 3-Mammogram 4-Biopsy 5-Mammogram and Biopsy 6-No treatment, reassess in 6 months

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Subject: Tommy's Concepts

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Another tricky female “breast path” question
Say you know a 44-year-old woman who hit her breast with a pole while raking leaves. She noticed a lump in that area at the time, and 2 weeks later the lump was still present. She then sought medical advice. She has a 3-cm, hard mass deep inside the affected breast, and some superficial ecchymosis over the area. There is little pain. It seems highly likely there may be a hematoma. You present the case to the attending. She asks what you wish to do. Pick from:
1-Ice packs, prevention of further trauma
2-Hot packs, with NSAIDS
3-Mammogram
4-Biopsy
5-Mammogram and Biopsy
6-No treatment, reassess in 6 months

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