Breast

Question 1

What Causes a Breast Abscess?

Answer 1

Mastitis / Plugged Milk Ducts

Question 2

Abscess Presentation

Answer 2

Pain, Swelling, Redness, Heat, Fever, Exudate

Question 3

Abscess Risk Factors

Answer 3

Smoking, Diabetes, Nipple Piercing

Question 4

Abscess Investigations

Answer 4

Pus examination, Biopsy, USS, MRI (if recurrent)

Question 5

Abscess Treatment

Answer 5

Antibiotics, Drainage, Surgery

Question 6

Who gets Fibrocystic Disease?

Answer 6

> 60% of women, 30-50yrs, Revolves after menopause

Question 7

What causes Fibrocystic Disease?

Answer 7

Hormonal variation during monthly cycle

Question 8

As a rule, Fibrocystic disease tends to be …?

Answer 8

Bilateral

Question 9

When is Fibrocystic Disease at it’s worst?

Answer 9

7-10 days before period

Question 10

Fibrocystic Disease Risk Factors

Answer 10

High socioeconomic status, Late age of menopause/Early menarche, Hx of benign breast disease

Question 11

Fibrocystic Disease Presentation

Answer 11

Tenderness, Pain, Nipple itching and Non-Bloody Discharge, Lumps in UOQ

Question 12

Fibrocystic Disease Investigations

Answer 12

Mammogram, USS, Biopsy

Question 13

Fibrocystic Disease Treatment

Answer 13

Support bra, Anti-Inflamms, Oral Contraceptives

Question 14

What is a Ductal Papilloma?

Answer 14

Small, benign breast tumour in milk duct

Question 15

Ductal Papilloma Presentation

Answer 15

One large lump near nipple or Multiple smaller lumps further away, Nipple Discharge, Pain

Question 16

Ductal Papilloma Investigations

Answer 16

Mammogram, USS, Biopsy, Discharge, Ductogram

Question 17

Who gets Breast Carcinoma?

Answer 17

> 50yrs, BRCA1/2, White Women

Question 18

What percentage of Breast Cancers are inherited?

Answer 18

5-10%

Question 19

Breast Carcinoma Risk Factors

Answer 19

Alcohol, Family Hx, Overweight, Early period/Late menopause, Oral Contraceptives, Diabetes

Question 20

What is protective for Breast Carcinoma?

Answer 20

Having a child before 30

Question 21

Breast Carcinoma Presentation

Answer 21

Lump, Bloody discharge, Inverted nipple, Orange peel skin, Swollen lymph nodes, Painless

Question 22

Breast Carcinoma Investigations

Answer 22

Mammography, USS, Biopsy

Question 23

Who is most likely to have multiple lumps in Ductal Papilloma? Is this more difficult to manage?

Answer 23

Younger women

Yes

Question 24

Over what age do you have a mammogram instead of an USS?

Answer 24

> 35