breast 2 Flashcards

1
Q

what’re the types of mastitis ?

A
1- subareolar mastitis 
2- intramammery mastitis :
a-lactational 
b-non-lactional 
3-reteromammery mastitis
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2
Q

whats the location of subareolar mastitis

A

under areola due to cracks in the areola or the nipple

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3
Q

causes of subareolar mastitis ?

A

1- cracks in the areola or the nipple
2- infected Montgomery gland
3- furuncle of the areola
4- ductectesia accosaited with sinus and fistula

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4
Q

treatment of subareolar mastitis ?

A

drainage and antibiotics

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5
Q

lactational mastitis common in

A

lactating women

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6
Q

causes of the lactational mastitis ?

A
during lactation 
1- cracks or retracted nipple
2-improper cleaning of the nipple 
3-improper milk expression cause stasis 
4-infection of the mouth of the baby 
5- rarly by hematoma
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7
Q

whats type of bacteria that causes lactational mastitis ?

A

staph aureus enter through crack nipple

whats stash do is clot the milk to cause blockage and then multiply .

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8
Q

whats the differential diagnosis of the lactational mastitis ?

A

inflammatory breast carcinoma

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9
Q

what’re the clinical feature of lactational mastitis ?

A
1- throwing pain and fever 
2- tenderness 
3- defuse redness
4- browny induration 
5- purulent discharge
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10
Q

what happen after taking antibiotic with drainage for lactational mastitis ?

A

it become hard non-tender lump with sterile pus Called antibioma formation

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11
Q

whats the treatment of the lactational mastitis ?

A

1- repeated ultrasound guided aspiration

2- antibiotic : cephalosporin floxacillin and amoxicillin

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12
Q

what’re the causes of the non-lactational mastitis ?

A

1- duct ectesisa

2- periareolar infection

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13
Q

what’re the organism that responsible for the non-lactational mastitis ?

A

1-anerobic streptococci
2- gram negative organism
3-enterococci
4-bacteriod

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14
Q

treatment of non- lactational mastitis ?

A

1-repeated us aspiration
2-antibiotics
3- cone excision of duct (had.feild -adiar operation )

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15
Q

what’re the causes of the reteromammery mastitis ?

A

1- TB of the intercostal LN or ribs or beneath
2- suppuration of the intercostal lymph node
3- empyema necesitan
4-infected hematoma

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16
Q

whats the treatment of reteromammery mastitis ?

A

1- treatment of the cause

2-drinage through submammory / reteromammery incision