Nipples produce milky discharge on applying mild pressure

Reference no: EM133695332

Question

History of Present Illness (HPI): Wendy, a 33-year-old woman, presents to the office with c/o of a 7- month history of nipple discharge. She has noticed that her breasts are tender and both nipples produce milky discharge on applying mild pressure. She has not noted any bloody or clear nipple discharge, breast lumps, or skin changes. She also states she has not had a menstrual period for 7 months, and her periods had been irregular for 8 months before they stopped altogether. Prior to her menstrual irregularities, her menses occurred at a normal frequency and duration. She is sexually active with a single partner and is trying to conceive. Prior medical history: Headaches (past 6 months). Prior surgical history: None Current medications: ibuprofen 400mg daily. Allergies: None OB- GYN History: Spontaneous VD x 1. Menarche age 14, normal throughout life, until recent complaints. No history of sexually transmitted infections (STDs). Last pap smear age 31 years, normal. LMP: 7 months ago. Contraception history: None. Social history: Lives with husband and 5-year-old son. Elementary school teacher. ETOH: 1-2 glasses wine per month. No recreational drug use. Never smoked. Does not exercise. Last travel outside of the country - Italy 8 months

Reference no: EM133695332

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