Breast surgery pastest Flashcards
Lymph drainage of medial breast?
Internal Thoracic lymph nodes
Lymph drainage of lateral breast?
Axillary Lymph nodes
Most axillary lymph nodes are in the axilla. Where are the others?
Infraclavicular
Symptoms of Nipple Thrush in breastfeeding mum & baby?
Bilateral red, itchy, fissured, burning nipples
White patches in baby’s mouth
Bilateral red, itchy, fissured, burning nipples in breastfeeding mum. White patches in baby’s mouth. Diagnosis?
Fungal Nipple Thrush
Cracked breastfeeding nipples with white patches in baby’s mouth. Dianosis?
Fungal Nipple Thrush
Treat Nipple Thrush in breastfeeding mum & baby? (2)
Mum- topical miconazole gel
Baby- oral miconazole gel (licenced 4mo+)
Clinically differentiate Paget’s disease of nipple from nipple eczema ?
Paget’s disease is unilateral
Eczema likely to be bilateral
“If I was going to do a bit of atopy, why would I not do it to both nipples at once?”- Greek Trump-supporting Boob Surgeon man
What is Paget’s disease of nipple indicative of?
Cancer
Nipple changes in Paget’s disease of nipple? (3)
Red
Scaly
Ulcerated
(like eczema on nipple)
State red flag characteristics of discharge in breast malignancy (3)
Spontaneous
Unilateral
Bloody
What does the presence of epithelial cells in nipple discharge rule out?
Benign disease
Bloody, spontaneous, unilateral nipple discharge suggests what?
Malignancy
How long does a patient have to stop breastfeeding for when taking Oral Flucloxacillin for Lactational Mastitis?
Trick question, they don’t have to stop at all
and shouldn’t!
Green-brown bilateral nipple discharge suggests what?
Ductal ectasia
