breast 2 Flashcards
what’re the types of mastitis ?
1- subareolar mastitis 2- intramammery mastitis : a-lactational b-non-lactional 3-reteromammery mastitis
whats the location of subareolar mastitis
under areola due to cracks in the areola or the nipple
causes of subareolar mastitis ?
1- cracks in the areola or the nipple
2- infected Montgomery gland
3- furuncle of the areola
4- ductectesia accosaited with sinus and fistula
treatment of subareolar mastitis ?
drainage and antibiotics
lactational mastitis common in
lactating women
causes of the lactational mastitis ?
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
whats type of bacteria that causes lactational mastitis ?
staph aureus enter through crack nipple
whats stash do is clot the milk to cause blockage and then multiply .
whats the differential diagnosis of the lactational mastitis ?
inflammatory breast carcinoma
what’re the clinical feature of lactational mastitis ?
1- throwing pain and fever 2- tenderness 3- defuse redness 4- browny induration 5- purulent discharge
what happen after taking antibiotic with drainage for lactational mastitis ?
it become hard non-tender lump with sterile pus Called antibioma formation
whats the treatment of the lactational mastitis ?
1- repeated ultrasound guided aspiration
2- antibiotic : cephalosporin floxacillin and amoxicillin
what’re the causes of the non-lactational mastitis ?
1- duct ectesisa
2- periareolar infection
what’re the organism that responsible for the non-lactational mastitis ?
1-anerobic streptococci
2- gram negative organism
3-enterococci
4-bacteriod
treatment of non- lactational mastitis ?
1-repeated us aspiration
2-antibiotics
3- cone excision of duct (had.feild -adiar operation )
what’re the causes of the reteromammery mastitis ?
1- TB of the intercostal LN or ribs or beneath
2- suppuration of the intercostal lymph node
3- empyema necesitan
4-infected hematoma