Benign Breast Disorders Flashcards
What is an infection of the breast
Mastitis
What is the most common organism causing mastitis
S. aureus
What is the main risk factor of developing mastitis
Breast feeding
What are some symptoms of mastitis
Fever, tenderness, erythema, induration, unilateral, warmth
What is the treatment for mastitis
Dicloxacillin 500mg
Can a patient who has mastitis still breastfeed
Yes
What is a complication of mastitis and what is the treatment
Breast abscess you will need to I&D
What are the worrisome signs with nipple discharge
Serous, bloody Spontaneously comes out Unilateral Secretes from one duct Mass present
What is a common cause of bloody nipple discharge
Intraductal papilloma, invasive papillary carcinoma
What is a common cause of galactorrhea
Pregnancy, pituitary adenoma, thyroid disease, meds, stress
What is a common cause of serous nipple discharge
Normal menses, OCP, early pregnancy, fibrocystic changes
What is a common cause of yellow tinged nipple discharge
Fibrocystic changes, galatocele
What is a common cause of green and sticky nipple discharge
Duct ectasia
What is a common cause of purulent nipple discharge
Breast abscess
Name the dx.
A patient comes to you with milky nipple discharge from both breast. On exam there are no masses noted. Patient stated that she is not breastfeeding
Galactorrhea
What is galactorrhea due to
High levels of prolactin (Hyperprolacinemia)
What do you want to do to work up a patient with bilateral milky discharge in a non-lactating women
This is galactorrhea want to get the following;
TSH, prolactin level, and review meds
Consider MRI
Is breast pain a common symptom of breast cancer
No
How do you normally treat breast pain
Tylenol or NSAIDS