During a recent visit to the clinic a woman presents with erythema of the nipple and areola on the right breast. She states this started several weeks ago and she was fearful of what would be found
The nurse should promptly refer the patient to her primary care provider because the patient's signs and symptoms are suggestive of what health problem?
A) Peau d'orange
B) Nipple inversion
C) Paget's disease
D) Acute mastitis
Ans: C
Feedback:
Paget's disease presents with erythema of the nipple and areola. Peau d'orange, which is associated with breast cancer, is caused by interference with lymphatic drainage, but does not cause these specific signs. Nipple inversion is considered normal if long-standing; if it is associated with fibrosis and is a recent development, malignancy is suspected. Acute mastitis is associated with lactation, but it may occur at any age.
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