Rachael Hardy complain two right-breast lumps 1) How can I help you? 2) Do you have othersymptoms or concerns we should discuss? 3) Have you gained or lost weight unintentionally despite normal appetite and exercise? 4) Have your breasts changed in size or tender? 5) Do you drink alcohol or smoke? 6) Does anyone in your family have breast problems or a history of breast cancer? 7) 8) Any issues wit heat or cold intolerance, loss of appetite, increased thirst orsweating 9) Movable breast lump or discharge from her nipple 10) Any new or change in medication? 11) Do now or have you had cancer? 12) Is there any swelling in your breasts? 13) Do you have swollen lymph nodes, is the lump in one or both breasts? 14) Skin change to the breast, such as dimpling, 15) Newly inverted nipple 16) Peeling,scaling or crusting or flaking of the pjigmented area ofskin surrounding the nipple. • Where is the breast lump located and is the lump in your breast moveable? • Do you have any swollen lymph nodes? • When did the problems with your breast start and are they associated with your period? • Have you ever had breast problems like this before? • Any fever, fatigue or tiredness? • Do you drink alcohol or smoke? • Does anyone in your family have breast problems or a history of breast cancer? • Tell me about your current or past medical problems, current prescription and over the counter medications. • Have you ever taken hormonal replacement therapy or are you using any form of birth control? • Do you have any of the following problems: fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, night sweats? • Do you have any problems with: headaches that don’t go away with aspirin or Tylenol (acetaminophen), double or blurred vision, difficulty with night vision, problems hearing, ear pain, sinus problems, chronic sore throats, difficulty swallowing? • Do you experience: chest pain, discomfort, pressure, pain/pressure/dizziness with exertion or getting angry, palpitations, decreased exercise tolerance, blue/cold fingers and toes?

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