Bilateral clear nipple discharge

T.R. is a 45-year-old female patient who came to your office complaining of intermittent and bilateral clear nipple discharge for the last two weeks. She thinks is not related to manipulation of the breast but definitively increases with it.

She notes that it comes from more than one duct. On health history you documented that patient also has frequent headaches and she has noted some visual problems.

• Discuss the diagnostic test appropriate for T.R. and the rationale.
• Discuss your presumptive diagnoses and ICD 10 number.
• Develop the management plan (pharmacological and nonpharmacological).
• Discuss three differential diagnoses for with ICD 10 numbers for each.