A 30 year old female presents with a complaint of nipple dis…

A 30 year old female presents with a complaint of nipple discharge.  Her LMP was 2 months ago, and she says it is typical for her to skip periods for 2 to 3 months at a time in the past year. Her pregnancy test today is negative. Her TSH is normal, and her prolactin level is slightly elevated at 35.  You would expect which of the following clinical signs to be consistent with physiologic nipple discharge?

The “itch-scratch” cycle is a complex of itching leading to…

The “itch-scratch” cycle is a complex of itching leading to scratching producing excoriation of the vulva and then healing.  The healing skin itches, leading to further scratching.  This cycle becomes chronic resulting in lichenification of the skin and is known as:

A 45-year-old female presents with spontaneous bloody nipple…

A 45-year-old female presents with spontaneous bloody nipple discharge from her left breast.  On examination, no mass is noted and a bloody discharge is expressed from a single duct. Aside from carcinoma of the breast, the most likely diagnosis and most common for this discharge is

A 22 year old female presents with three episodes of chest p…

A 22 year old female presents with three episodes of chest pain, shortness of breath, palpitations, dizziness, sweating, and fear of losing control.  Her first episode occurred while she was traveling on the bus.  She is avoiding the use of public transportation because she feels trapped and is fearful of recurrence of the symptoms.  The most likely diagnosis is: