iHuman Rachel Hardy Case Study CC: “I can feel two lumps in my breast.” HPI: R.H. is a 42 year old female who presents with a chief complaint of two right-sided breast lumps that were self-detected. Patient's mother was diagnosed with breast CA at age 48, currently still living. Patient has a breast biopsy 3 years ago which showed atypical ductal hyperplasia. Patient denies any breast pain, discharge, bleeding, skin changes, palpable lymph nodes, or fevers. She reports a recent 11lb weight loss over the past 3 months due to unknown cause. Physical exam shows 2 palpable breast masses, one 2.5cm mass in the upper quadrant of the right breast, and another 2cm mass in the right breast. A right axillary lymph node that is hard and mobile is also palpable. Past Medical History - Chronic idiopathic pancreatitis - Hypothyroidism - Atypical ductal hyperplasia Past Surgical History Pancreas sx last year Social History - Tobacco use: 1-pack year history - Drug use: denies - Alcohol use: 2 glasses of wine per day starting at age 18; quit 6 years ago - Marital status: never married - Current/previous occupation: disabled due to chronic pancreatitis - Sexual orientation: female - Sexually active: not sexually active for past 12 years