Breast-Onello Flashcards
Supernumeray Nipple
occurs in both men and women along the mammary ridge
Polymastia
extra breast tissue extending into axillary region
Polythelia
supernumeray tissue from failure of mammary ridge to regress
Amastia
absence of nipple/breast and possibly pectoral muscle
Gynecomastia
most of the time is part of normal development
- surging hormones –> often resolves
- context matters
Initiating Breast feeding
LEARNED SKILL
higher rate in wealthy, educated, whites, non-smokers
Continuation of Breast Feeding
less than 35% of women exclusively breast feeding at 4 months
Reasons for stop feeding
leaking, engorged breasts, lack of milk, spitting up, sore nipples, latching difficulties
Mastitis
use dicloxacillin –> safe for mom and baby
- affected breast –> pump and dump, need to continue “draining” –> otherwise it will be tender and may lose milk supply
Gyn-Endocrine history for increased breast cancer
first child after 30, nulliparous women, previous radiation, early menses, late menopause
- having kids/breast feeding decreases your risk
Paget’s disease of the breast
dermatologic lesion on breast –> keep Paget’s disease of breast in back of mind
Worrisome breast findings
lumps skin tethering nipple inversion ulceration nipple scaling skin of an orange
Mammography
X-ray of breast –> special (squish)
- a little bit controversial
- early detection (some cancers do not show up on mammography)
- if implants –> still do mammograms (double lumen)
BI-RADS
Category 0-6 (badness increases with #s)
Ultrasound of breast
diagnosis of breast densities (still a little opacity, not fluid filled like a cyst)
not a good screening tool
- used for women <30 because breasts not as fatty
