Problem:
A 29-year-old woman presents with a 2-week history of a serous, spontaneous, nipple discharge from both nipples. A history of present illness reveals that she was prescribed an oral contraceptive pill 3 months ago. Her mother has a history of breast cancer treated with mastectomy and postoperative chemotherapy. Her vital signs are heart rate 78 bpm, blood pressure 110/80 mm Hg, and temperature 98.7 °F (37 °C). The physical examination shows serous, non-bloody nipple discharge bilaterally. What is the best next step in management? Need Assignment Help? A. Educate the patient regarding the benign nature of her symptoms and advise a change in the oral contraceptive pill B. Perform an ultrasound of the breast C. Perform unilateral ductography of the breast D. Intermittent treatment with danazol and bromocriptine