Author Question: A 45-year-old female patient presents in the emergency department due to multiple chest injuries as ... (Read 65 times)

a0266361136 · **on:** Jun 25, 2018

A 45-year-old female patient presents in the emergency department due to multiple chest injuries as a result of a motor vehicle accident.

There is a palpable, tender, irregular 3 cm soft mass located in the left breast, with erythema and swelling of the breast. Which of the following is indicated?
A. Compression wrap for chest and breast trauma
B. Mammogram
C. Re-evaluation following complete resolution of obvious injuries
D. Ultrasound

Question 2

Which of the following variables is not a component of the Gail Model?

A. Age at menarche
B. Number of breast biopsies
C. Age at first live birth
D. Number of live births

kxciann · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Trauma to the anterior chest area may result in a palpable breast mass. An automobile accident with injury from contact with the seat belt, air bag, steering wheel, or dashboard is a common source of breast trauma. When a palpable mass results from chest trauma, it typically represents either a hematoma or area of secondary fat necrosis. Even when a mass is identified subsequent to direct trauma, the provider must remain suspicious for the possibility of malignancy that preexisted but was undetected before the accident.

Answer to Question 2

ANS: D
The Gail model is a clinical prediction rule used to estimate a patient's risk for breast cancer. The model identifies the relative risk associated with three factors obtained through history: age at menarche, number of previous breast biopsies, and the age at first live birth.