Breast station

Question 1

Duct ectasia

Answer 1

Dilatation of large breast ducts
Menopause
Tender lump with Green discharge

Question 2

Fat necrosis

Answer 2

Obese women
Firm round, hard irregular lump

Question 3

Acute mastitis

Answer 3

Staph aureus
Breastfeeding women
Coryza, nipple discharge, red, tender breasts with abscess

Question 4

Acute mastitis treatment

Answer 4

USS
Incision and drainage + culture of fluid
Non severe or lactational = simple analgesia, warm compress, continue breastfeeding

Non lactational or severe
1st = Flucloxacillin
2nd = co-amox
MRSA = trimethoprim

Question 5

Fibroadenoma

Answer 5

Under 30s
Breast mice
Discrete non tender, highly mobile

> 3cm = surgical excision

Question 6

Fibroadenosis

Answer 6

Middle aged
Lump breasts
Painful
Worsen before menses

Question 7

Intraductal papilloma

Answer 7

40-60yo
Blood stained discharge

Question 8

Ages of breast screening

Answer 8

50-71 every 3 years

Question 9

hormonal therapies

Answer 9

ER +ve + PREmenopausal
Tamoxifen

ER +ve + POSTmenopausal
Anastrozole
Letrozole

Her2 +ve
trastuzumab

Question 10

normal breast examination presentation

Answer 10

Today I performed a breast examination of X year old Y.
On general inspection the patient was normal body habitus and was comfortable at rest.
On closer inspection of the breasts, they were equal in size, with no obvious swelling, mass, or changes to the nipple or the skin
Examination of the L/R breast revealed no masses abnormality or tenderness in any of the 4 quadrants or the axillary tail.
There were not masses palpated below the nipple and no discharge was elicited.
No lymphadenopathy was felt in the axillary or cervical node chains.
In conclusion this was a normal breast examination. To complete my examination, I would like to take full history and complete the breast triple assessment.