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Medicine Phase 2a Approach to presenting complaints > Breast lump > Flashcards

Breast lump Flashcards

1
Q

Questions to ask

A 
Previous lumps?
Family history?
Pain?
Nipple discharge?
Nipple inversion?
Skin changes?
Change in size related to menstrual cycle?
Number of pregnancies?
Postnatal? Breast feeding?
Drugs e.g. HRT?
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2
Q

Why is social history important

A

To try to gain an impression of support network if suspect malignancy

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3
Q

Drug history

A

Ask about HRT or the pill

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4
Q

Examination of breast

A

Inspection
Palpation
Palpation of axilla for lymph nodes
Further examination

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5
Q

What further examinations are done

A

Examine abdomen for hepatomegaly
Spine for tenderness
Lungs (metastatic spread)

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6
Q

Causes of nipple discharge

A

Duct ectasia
Intraductal papilloma/adenoma/carcinoma
Lactation

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7
Q

Management of nipple discharge

A 
Diagnose cause (mammogram, ultrasound, ductogram) then treat appropriately
Cessation of smoking
Microdochectomy/total duct excision can be considered if other measures fail
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Medicine Phase 2a Approach to presenting complaints (7 decks)

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