Breast issues

Question 1

Management of the following:

woman with recent negative screening mammogram complains of lump in breast

Answer 1

obtain unilateral diagnostic mammogram, this should be the first imaging study

Question 2

Management of the following:

Young woman with palpable breast mass

Answer 2

ultrasound of the breast

Question 3

What image would you use to differentiate mastitis from breast abcess?

Answer 3

ultrasound

Question 4

Most common causative organism in mastitis that is induced by lactation?

Answer 4

Staph aureus

Question 5

Management of mastitis

Answer 5

initial: systematic emptying of the breast, anti-inflammatory agents, symptomatic treatment to reduce pain and swelling

If no improving 48-72 hrs: treat with antibiotics

Continue to breast feed
Breast emptying is essential

Question 6

Diagnosis of mastitis

Answer 6

red, tender, swollen area

fever

Question 7

Which antibiotic would you prescribe for mastitis when no risk factors for MRSA

Answer 7

dicloxacillin, cephalexin, clindamycin

Question 8

Which antibiotic would you prescribe for mastitis when risk factors for MRSA are present?

Answer 8

clindamycin, bacrim, linezolid

Question 9

Physical exam finding that might indicate paget disease of the breast?

Answer 9

erythematous, scaly, weeping wound that involves the nipple. Often preceded by pain and itching.

Question 10

First step in management when pagets disease is suspected

Answer 10

biopsy the breast