disorders of the breast Flashcards
What is the most common causative organism in a breast abscess?
Staph aureus
What is the Tx for a breast abscess?
Regimen: Nafcillin/oxacillin IV or cefazolin PLUS metronidazole
Alternative is Vancomycin
Should women continue to breast feed if they have a breast abscess?
you betcha
is a breast fibroadenoma mobile or immobile?
they are mobile
How would you describe a breast fibroadenoma?
Small, firm, usually painless, well-circumscribed, completely round, and freely mobile breast mass
What term is the classic description for a breast fibroadenoma?
Rubbery
Can fibroandenomas size wax and wane with meses?
Yes they often do
How do you diagnose fibrocystic breast disease?
breast cyst aspiration supplemented by ultrasound and mammogram
Multiple bilateral breast masses, well-circumscribed, round, discrete, relatively mobile, that increase in size and pain before menses. This describe what?
fibrocystic breast disease
What will the fluid look like with a fibrocystic breast aspiration?
Straw-colored without any blood
How do you treat fibrocystic breast disease?
Heat, ICE, NSAIDs
What kind of OCP is good for fibrocystic changes with menses?
Oral contraceptives with low estrogenic activity and potent progestin, medroxyprogesterone acetate
What is the treatment for mastitis? if your are suspicious of an abscess what can you do to evaluate it?
Tx is dicloxacillin
Can do an ultrasound if you suspect an abscess
