Nipple discharge in a 31 yo female

• Medical history: She had mild asthma in childhood, which she outgrew. She has a 5-year-old son after an uncomplicated pregnancy with spontaneous vertex delivery at 40 weeks.


• Surgical history: No previous operations.


• Medications: Acetaminophen 1 g daily as needed; ibuprofen 400 mg daily as needed. Ibuprofen recently increased to as much as 400 to 600 mg twice daily.


• Allergies: No known drug allergies.


• Family history: Her father had a stroke in his 80s; mother had osteoporosis.


• Social history: She eats a healthy balanced diet. She does not exercise regularly. She is nonsmoker and drinks alcohol very occasionally. She works as a primary school teacher. Her last travel outside the country was to Italy 8 months ago.