FSU Breast Discharge Diagnosis and Treatment Discussion Reply

Please respond to discussion below using current APA edition and 2 scholarly references. Must be at least 150 words. 

Diagnostic test and rationale appropriate for T.R.

           Mammography is the diagnostic test that should be performed on T.R. It is possible that the patient has breast cancer because she has been complaining of clear nipple discharge that is both intermittent and bilateral. The results of a mammogram will assist in determining the cause of the fluid from the nipple, and it will also help rule out the possibility of breast cancer.

Presumptive diagnoses and ICD 10 number

           According to the probable diagnosis, the potential causes of the T.R. include galactorrhea, benign breast neoplasia, and migraine migraines. ICD 10 categorizes galactorrhea as an N64.3 condition, benign breast tumors as a D24.9 condition, and migraine headaches as a G43.009 condition. Galactorrhea is a type of breast tumor that is considered to be benign. “Alphabetical listing of DSM-5 diagnoses and codes (ICD-9-CM and ICD-10-CM),” n.d., pagination xx.

Pharmacological and Nonpharmacological Management Plan

          The management strategy offers non-pharmacological and pharmaceutical T.R. treatments. The pharmaceutical-treated patient’s treatment approach would focus on nipple discharge’s cause. The patient will receive antibiotics and surgery if benign mammary duct ecstasia is produced during the discharge. Her second treatment will include hormones and antipsychotics. If cystic mastitis persists, the patient will receive anti-inflammatory and antibiotics. Surgery can also help. Patients with intraductal papilloma should have surgery. Nonpharmacological therapy for nipple discharge includes avoiding triggers like drugs. Nipple stimulation is another nonpharmacological treatment.

Three differential diagnoses with ICD 10 numbers 

           The T.R. exhibits signs of breast cancer ICD 10 code C50, including clear nipple discharge that is intermittent and bilateral. This might be considered a symptom of breast cancer. This is an example of a differential diagnosis that could be made. Nevertheless, to validate this diagnosis, additional testing needs to be carried out. The patient may also have fibrocystic breast changes, which is another possible differential diagnosis that can be derived from the symptoms. The number assigned to it by the ICD 10 is N61 (“Alphabetical listing of DSM-5 diagnoses and codes (ICD-9-CM and ICD-10-CM),” n.d., page xx). Her symptoms typically correspond to the diagnosis she has been given. In a similar vein, additional testing would be required to validate this diagnosis. In conclusion, mastitis, which has the ICD 10 code of O86.0, is yet another potential differential diagnosis. Based on her symptoms, it is possible that she is suffering from this condition. Despite this, additional testing is going to be necessary to confirm the diagnosis.

Parameters that should be considered to reach maximal health

           During a thorough health examination, nurses observe, monitor vital signs, and ask patients about their symptoms. A medical history, general assessment, and thorough physical examination are covered. Before a physical exam, a full one normally begins with a medical history. Despite public health specialists’ local population-based health needs evaluations, all health practitioners should prioritize them. Hospitals and primary care teams should customize services to their areas. This goal can be achieved by assessing population needs and understanding patient needs. A medical history may include allergies, infections, operations, immunizations, and physical exam results. It may also involve your diet, exercise, and medications. A comprehensive patient evaluation includes a thorough survey assessment. General surveys start with the first patient interaction and continue throughout therapy. All five senses are used to observe. Nurses immediately assess patients’ appearance, posture, stride, verbal, nonverbal, and behavioral traits. Cues from a general survey evaluation inform specialized inspections in problem areas. During a thorough health examination, nurses observe, monitor vital signs, and ask patients about their symptoms. A medical history, general review, and full physical examination are provided (Cohn et al., 2010).

Different family developmental stages

           The first step is the establishment of a family, which often entails marriage and results in the delivery of the initial offspring. The second stage is the growth of the family, which typically refers to the birth of more children up until the birth of the final kid born in the family. The next step is the conclusion of the expansion process, which includes taking care of the children up until the time when the first child leaves the house. When the final child leaves the family home, the fourth stage of a family’s life cycle is a period of family contraction. The passing of one of the spouses marks the beginning of the breakdown of the family, which is followed by the passing of the other spouse in the end.

Family Structure and Function 

         The composition and dynamics of families have a considerable bearing on the provision of medical care. Children who are raised in families that are fully functional and have their original family structures are likely to have easier access to medical treatment in many circumstances. Children that come from homes that aren’t functioning properly tend to have more behavioral and emotional issues, but the children in this group had fewer of those issues overall.