Approach to breast pain (mastalgia) Quiz: Ace Your Exams
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A 22-year-old female collegiate pole vaulter presents to the OB/GYN clinic for evaluation of right-sided breast discomfort that has persisted for three weeks. The pain is described as dull and aching, rated 4 on a 10-point scale, and worsens with upper body activity but is otherwise constant. On review of systems, there is increased muscle soreness in the patient’s neck and shoulder. Medical history is unremarkable, with no medications and no family history of breast cancer. There has been no recent trauma or surgery. Pulse is 72/min, respirations are 14/min, and blood pressure is 118/70 mmHg. The patient appears clinically well and in no significant distress. Which of the following additional physical exam findings would best support the likely underlying diagnosis?
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