breast disorders

Question 1

mastitis?

Answer 1

inflammation of breast

Question 2

types of mastitis?

Answer 2

infection and congestive

Question 3

what causes infective mastitis?

Answer 3

Staph Aureus = Most Common

Strep + Candida

Question 4

when is infective mastitis most commonly seen?

Answer 4

mostly in lactating women secondary to nipple trauma → Especially in primigravida

Question 5

what is congestive mastitis?

Answer 5

Bilateral breast enlargement 2-3 days postpartum

Question 6

s/sx of infective mastitis?

Answer 6

Unilateral breast pain → Especially one quadrant → With tenderness, warmth, swelling & nipple discharge

Question 7

s/sx of congestive mastitis?

Answer 7

Bilateral breast pain & swelling → May have low grade fever & axillary lymphadenopathy

Question 8

s/sx of a breast abscess?

Answer 8

Induration with fluctuance (due to pus) → Rare

Question 9

tx of infective mastitis?

Answer 9

Supportive measures (warm compresses, breast pump) + Anti-Staphylococcal Abx
Dicloxacillin, Nafcillin, Cephalosporin
Fluconazole if fungal

Question 10

pt ed for infective mastitis

Answer 10

Mothers may continue to nurse or use breast pump

Question 11

tx for congestive mastitis? breastfeeding not desired

Answer 11

If women does not want to breastfeed → Ice packs, tight-fitting bras, analgesics, avoid breast stimulation

Question 12

tx for congestive mastitis? if breastfeeding desired

Answer 12

If breastfeeding desired → Manually empty breast completely after baby is done breastfeeding, local heat, analgesics, continue nursing

Question 13

tx of breast abscess

Answer 13

I&D → Discontinue breastfeeding from the affected breast

Question 14

fribrocystic breast disorder PP?

Answer 14

Fluid-filled breast cyst due to exaggerated response to hormones

Question 15

what is the MC breast disorder in 30-50 yo

Answer 15

fibrocystic

Question 16

s/sx of fibrocystic breast disorder

Answer 16

Usually multiple, mobile, well demarcated lumps in breast tissue

Often TENDER, bilateral

Usually no axillary involvement nor nipple discharge

Breast cysts may INCREASE OR DECREASE IN SIZE W/MENSTRUAL HORMONAL CHANGES

Question 17

dx of fibrocystic breast disorder

Answer 17

Ultrasound

Fine Needle Aspiration →

Question 18

what would you see on a FNA of a fibrocystic breast?

Answer 18

straw colored fluid

Question 19

tx of fibrocystic breast disorder

Answer 19

Most spontaneously resolve

+ FNA removal of fluid if symptomatic

Question 20

fibroadenoma of the breast PP

Answer 20

Composed of glandular & fibrous tissue → Collagen arranged in ‘swirls

Question 21

when are fibroadenomas most oftenly found?

Answer 21

late teens-early 20s

Question 22

s/sx of fibroadenomas?

Answer 22

Smooth, well-circumscribed, nontender, freely mobile, rubbery lump in the breast

Gradually grows over time & DOES NOT USUALLY WAX & WANE WITH MENSTRUATION

May enlarge in pregnancy

No axillary involvement or nipple discharge

Question 23

tx of fibroadenomas

Answer 23

Observation → Most small tumors resorb with time

+ Excision → Not usually done