1. Step 6
1.1. Review session 1
1.1.1. Summary of step 5
1.1.1.1. Anatomy
1.1.1.1.1. do apocrine cells die after secretion?
1.1.1.2. physiology
1.1.1.3. pathology
1.1.1.3.1. ductal carcinoma
1.1.1.3.2. lobular carcinoma
1.2. Report new knowledge
1.2.1. Anatomy
1.2.2. Physiology
1.2.3. Pathology
1.2.4. mammogram
1.2.4.1. the image that taken for the breast during the mammography (process)
2. Step 8
2.1. Diagnostic decision
2.1.1. Breast cancer (lobular carcinoma "in situ")
2.2. Mechanism
2.2.1. risk factors
2.3. Presentation
2.3.1. firm lump
2.3.2. palbale lymph node
2.3.3. mobile
2.3.4. in the upper outer quadrant in the left breast
2.3.5. 2 cm
2.3.6. glandular tissue
2.4. Supporting data
2.4.1. mammogram, ultrasound, and biopsy results
3. Step 7
3.1. Inquiry plan and info gathering
3.1.1. history
3.1.1.1. risk factors?
3.1.1.1.1. age
3.1.1.1.2. family & social history
3.1.1.1.3. menopause
3.1.1.1.4. radiation therapy
3.1.1.1.5. hormonal replacement therapy
3.1.1.1.6. any past lumps
3.1.1.1.7. menstruation
3.1.1.1.8. having baby after 30
3.1.1.1.9. surgeries
3.1.1.1.10. children
3.1.1.1.11. developed some mastitis
3.1.1.1.12. stop breastfeeding
3.1.1.1.13. took oral contraceptive till 35, then ICU
3.1.1.1.14. at age 43 did hystroectomy after urine fibroied
3.1.1.1.15. 48 hot flashes
3.1.1.1.16. hypertension
3.1.1.1.17. took ACE inhibitor
3.1.1.1.18. nocturnal cedative
3.1.1.1.19. rashes with sulpher
3.1.1.2. painless
3.1.2. examination
3.1.2.1. vital signs
3.1.2.1.1. BMI 25, BP 130/80, Cardivascular is normal
3.1.2.2. lymph nodes
3.1.2.3. characters of the lump
3.1.2.4. structure of the breast
3.1.2.5. tenderness of the lump
3.1.3. tests results