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Tina, a 28-year-old Asian American woman,  she and her infant are here for a postpartum visit. Tina is a patient in your family practice and she delivered a healthy 8 lb 5 oz baby girl via NSVD 6 days ago. Your practice’s protocol is to see Mom and baby in the office within the 1st week after delivery. She tells you that her breasts are very swollen and rock hard. She is trying to breastfeed and is having difficulty with assisting the baby to latch on.  

Vital signs: T 98.9 P 82, RR 16, BP: 112/78 

Indicate what questions you would ask to obtain a complete history for this patient visit, include information on the newborn as it pertains to the breastfeeding dyad. 
For the ROS list each body system; list the all symptoms you would ask about; indicate why you are asking them  (General: fatigue (anemia))
Based on what you know right now, what physical exam would you perform? WHY?  Physical Exam: list each body system; list the exam component you are doing; state why you are doing the listed component.  (EYE: EOM (subdural hematoma))
What is your DDx? List in order of which you think is most likely to least likely. Include pertinent +/- for each ddx
SCIENCE
HEALTH SCIENCE
NURSING
NUR 520