Breast and Urological history

Question 1

Features of breast lump

Answer 1

Site
When did you first notice?
Change?
Pain?
Trauma?
Nipple/skin changes
Nipple discharge
Changes throughout menstrual cycle?
Breast feeding? Parity?

Question 2

Associated symptoms w/breast lump

Answer 2

SOB
Skin changes elsewhere
Weight loss
Swelling
Malaise
Backache

Question 3

Breast cancer risk factors

Answer 3

Contraceptive pill/HRT
Smoking
Previous breast cancer
Early menarche/late menopause
Nulliparity/no breastfeeding
FH

Question 4

What is the triple assessment for breast cancer?

Answer 4

History and examination
Imaging (Mammography/USS)
Sampling (fine needle aspiration/core biopsy)

Question 5

Breast lump differentials and ages

Answer 5

Fibroadenoma (20-35)
Fibrocystic change (20-40)
Abscess (20-30)
Cyst (40-50)
Malignancy (40-70)

Question 6

Key urological symtpoms

Answer 6

Dysuria 
Frequency
Urgency
Nocturia
Haematuria 
Hesitancy and terminal dribbling
Poor urinary stream 
Incontinence
Fever / rigors- infection / urosepsis
Nausea / vomiting -pyelonephritis

Question 7

Relevant urological PMH

Answer 7

Recurrent urinary tract infections (UTIs)
Incontinence – stress incontinence / functional incontinence
Prostate issues – benign prostatic hypertrophy / prostate cancer
Renal – renal stones / pyelonephritis / chronic renal failure
Diabetes
Hospital admissions

Question 8

Relevant urological SH

Answer 8

Occupation – increased risk of bladder cancer in those working in specific industries – industrial dyes / textiles / rubber / plastics / leather tanning
Alcohol, smoking, recreational drugs