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Ambulatory Care of Women > Breast Disease > Flashcards

Breast Disease Flashcards

1
Q

Demographics of patient with cyclic mastalgia

A

30-40 years

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2
Q

Exam for cyclic mastalgia

A

nodules and lumps, coinciding with pain, most commonly upper outer area.

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3
Q

First line treatment for cyclic mastalgia

A

Evening primrose oil caps 5-8 cap per day for at least 2 months. Relieves pain in 50% of women

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4
Q

Other treatment for cyclic mastalgia

A

OCOs, NSAIDS, warm compress, breast support, danzole, or bromocriptine

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5
Q

Causes of non-cyclic mastalgia

A

starting on OCPs, HRT, other medications, breast cancer

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6
Q

Most common causes of mastitis?

A

Bad latch from breast feeding

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7
Q

Treatment for mastitis

A

Keflex, nurse of affected side, tight fighting bra 24/7, warm compress

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8
Q

Demographics of Cysts?

A

40-55 years old, rarely in post menopausal or younger

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9
Q

Cause of cyst?

A

Lobules are in process of involution and storm is being replaced with fibrous tissue

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10
Q

Common cause of breast abscess?

A

Staph aureus

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11
Q

Exam for breast abscess?

A

erythema, swelling, induration

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12
Q

Treatment of breast abscess?

A

antibiotics, warm compress, breast binding, DO NOT feed on affected side

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13
Q

Demographics of fibroadenoma?

A

15-25, most common mass under 40 years old

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14
Q

Cause of fibroadenoma?

A

Proliferation of tissue around breast

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15
Q

Exam for fibroadenoma?

A

Smooth, but can be lobulated, 1-3 cm, firm, round, mobile

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16
Q

Diagnosis of fibroadenoma?

A

Require ultrasound

17
Q

Treatment of fibroadenoma?

A

Usually excision is recommended. If not, will resolve, stay same, or grow.

18
Q

Exam of fibrocystic mass?

A

Dense tissue, waffle texture, worsen before menses and lessen near end

19
Q

Diagnosis of fibrocystic mad?

A

MMG

20
Q

Fibrocystic mass biopsy findings?

A

70% non proliferative
26% proliferative atypical
4% hyperplasia

21
Q

Treatment of fibrocystic mass?

A

Aspiration of fluid
If blood is aspirated, cancer work up
NSAID, COC, diuretic
Warm compresses and support for breast

22
Q

Three groups of breast lesions

A
  1. non proliferative
  2. Proliferative without atypic
  3. Proliferative with atypia
23
Q

Proliferative lesions with atypia breast cancer risk?

A

4-5 times higher. Include

24
Q

TNM staging of breast cancer?

A

T- tumor size and how far it has spread
N- lymph node involvement
M- presence or abscense of distant metastases

25
Q

SEER- what does it stand for?

A

Surveillance, epidemiology, and end result

26
Q

What’s the difference between spontaneous and non spontaneous nipple discharge?

A

Spontaneous- possible pathology

Non-spontaneous- usually benign

27
Q

How eczema presents

A

Bilateral, rapid evolution, moist, indefinite edge, nipple may be spared, itching common

28
Q

Paget’s Disease persentation

A

unilateral, slow steady progression, moist OR dry, irregular but defined, nipple always involved

29
Q

What to do for eczema and page’s disease?

A

Refer to dermatologist.

30
Q

Most common form of non-invasive breast cancer?

A

Ductal, then lobular, then inflammatory

31
Q

Most aggressive type of breast cancer?

A

Inflammatory breast cancer.

32
Q

Diagnosis of inflammatory breast cancer?

A

Need biopsy. will not show up on imaging

33
Q

Reproductive history risk factors for breast cancer?

A

Slight
Age after 30 of first birth
Nulliparity
Early monarchy (55

34
Q

Personal breast cancer history risk for breast cancer?

A

1% for first 10 years

20 year risk is 2-21

35
Q

Family history risk for breast cancer?

A

First degree relative (

36
Q

Sensitiivty and specificity of mammography?

A

90 and 90%

37
Q

How often should women do mammogram

A

annually over 40 years old

38
Q

How often should you do screening for women with breast implants?

A

MRI 3 years after and then every 2 years after

Ambulatory Care of Women (8 decks)

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