The lump her mother found — CCE clinical encounter

Objectives

1. Take a focused history including the family history and its weight. ^[18]
2. Examine both breasts and regional nodes properly, with her own finding demonstrated. ^[7]
3. Deliver the honest working diagnosis: a discrete lump over 30 goes to triple assessment — clinical benignity never discharges the referral. ^{[9] [15]}
4. Explain the pathway concretely (what happens, when, what the tests are) — the triple assessment with its measured accuracy. ^[21]
5. Manage the fear as part of the clinical problem, with a definite follow-up plan. ^[3]