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New cases in Pous 2064, HIV = 175, AIDS = 26, Death = 2. HIV rate is very high in Housewives than sex workers in Nepal ! ! ! HIV status in Nepal till 2005: Total Adult=70000, Adult Prevalence (15-49)=0.55%, Number of Women (15-49) LWHA=15,310 (22%), HIV Prevalence rate in IDUs=32.7%, HIV prevalence rate in sex worker=3.8%, HIV prevalence rate in client of SW=2.1%. The latest U.N. report shows that 65 million people have been infected with HIV since it was first identified 25 years ago. Twenty five million people have died of AIDS.

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Clinical Vignette A clinical vignette is a concise presentation of an interesting or challenging patient encounter that stimulated an interesting learning issue.

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A 36 year old female notices a bloody nipple discharge - 26-09-2006, 06:55 AM

A 36 year old female notices a bloody nipple discharge from her right breast.Which of the following breast lesions is most likely to account for this finding?

A. Fibroadenoma
B. Phyllodes tumour.
C. Acute mastitis
D. Intraductal papilloma
E. Sclerosing adenosis
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Re: A 36 year old female notices a bloody nipple discharge - 26-09-2006, 09:10 AM

? D. Intraductal papilloma


remember that silence is sometimes the best answer
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Re: A 36 year old female notices a bloody nipple discharge - 02-10-2006, 01:21 AM

yes, its intraductal papilloma.
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Re: A 36 year old female notices a bloody nipple discharge - 04-10-2006, 03:45 AM

Quite right guys.Intraductal papilloma usually presents with a bloody nipple discharge.The others are unlikely.
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