Final Flashcards

1
Q

mammary ridge

A
  • ridge of ectoderm begins in bilateral pectoral area

- extends proximally to axilla, distally to groin

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2
Q

milk line

A

corresponding to mammary ridge along which supernumerary breasts or nipples form

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3
Q

polythelia

A

supernumerary nipples

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4
Q

polymastia

A

supernumery breasts

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5
Q

poland syndrome

A
  • failure of breast development

- may include absence of pectoral muscles as well

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6
Q

BiRADS

A
0- incomplete, additional studies needed
1- normal or negative
2- benign findings
3- probably benign, repeat in 6 months
4- suspicious, needs biopsy
5- highly suspicious, biopsy
6- biopsy proven cancer
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7
Q

fibroadenoma

A

-normal course is growth 1-2 cm then eventual involution

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8
Q

mastalgia

A
  • mild cyclic breast discomfort for a few days is normal

- severe disabling pain requires treatment

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9
Q

cysts

A
  • likely result from uneven involution of ducts and lobules

- treat if symptomatic or if diagnosis uncertain

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10
Q

pre teen female breast masses

A
  • breast bud even if unilateral

- no biopsy

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11
Q

teenage male breast mass

A
  • pubescent gynecomastia
  • will resolve
  • can do ultrasound to reassure family
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12
Q

teenage female breast mass

A
  • fibroadenoma
  • follow with serial exam/ultrasound
  • correlate ultrasound with menses
  • no biopsy
  • if enlarging or symptomatic, excise
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13
Q

female 20s-30s breast mass

A
  • still most likely fibroadenoma
  • ultrasound
  • needle biopsy if high risk or pregnant
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14
Q

female mid 30s to menopause breast mass

A
  • multiple etiologies
  • mammogram and ultrasound
  • needle biopsy unless obviously benign
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15
Q

middle aged male breast mass

A
  • firm, non-tender, and not directly below nipple then ultrasound and needle biopsy
  • if opposite then consider ultrasound
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16
Q

post menopausal breast mass

A
  • on HRT = treat as if pre-menopausal

- no HRT = heightened cancer suspicion

17
Q

cyst

A
  • aspirate in office

- if fluid bloody, consider biopsy

18
Q

abscess

A
  • aspirate in office
  • send for cytology
  • begin antibiotics
19
Q

hypospadias

A

urethral opening in abnormal position

20
Q

inguinal adenopathy causes

A
  • STI

- testicular cancer

21
Q

hydrocele

A
  • fluid filled collection that can occur anywhere along the path of descent of the testis or ovary
  • light can shine through
22
Q

hernia

A

protrusion of a portion of an organ or tissue through an abnormal opening in the wall that normally contains it

23
Q

incarceration

A

hernia that cannot be reduced by manipulation; could possibly be strangulated

24
Q

strangulation

A

vascular compromised of the contents of a incarcerated hernia

25
Q

indirect inguinal hernia

A

hernia in to the scrotum

26
Q

direct inguinal hernia

A

hernia in to the abdominal wall

27
Q

phimosis

A

can’t pull foreskin over the gland because it is too tight

28
Q

paraphimosis

A
  • retracted foreskin cannot be un-retracted
  • acts as a tourniquet
  • emergency
29
Q

signs/symptoms of testicular cancer

A
  • lump or nodule on testicle
  • slight enlargement or change in firmness
  • dull ache in scrotum
30
Q

chancroid

A
  • caused by bacterial infection

- painful

31
Q

primary syphilis

A
  • hard chancre

- not painful

32
Q

gonococcal discharge

A
  • urethritis
  • painful urination
  • large discharge
33
Q

chlamydia

A

-scant discharge

34
Q

orchitis

A

swelling of testicle

35
Q

epididymitis

A
  • inflammation of epididymis

- often caused by STI

36
Q

balanitis

A
  • infection of base of glans

- can be fungal

37
Q

varicocele

A
  • dilated pampiniform plexus

- thought to contribute to infertility due to increased heat from blood flow

38
Q

testicular torsion

A

emergency evaluated with ultrasound to look at blood flow loss

39
Q

pilonidal cysts

A

cyst over sacrum