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Breast
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Breast Discharge Evaluation
Flowchart
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Bilateral vs unilateral; age-based imaging for unilateral.
Decision
Outcome
Decision
Nipple discharge — bilateral or unilateral?
✓
Bilateral → pregnancy test, galactorrhea workup
✓
Unilateral, age <30 → US + mammogram
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Unilateral, age ≥30 → mammogram + US
Outcome
Galactorrhea workup: prolactin, TSH, β-hCG
Outcome
Age-appropriate imaging; biopsy if abnormality