inflammatory breast disease Flashcards
what is mastitis
inflammation of the breast tissue
how is mastitis classified
based on lactational status
what is the most common type of mastitis
lactational mastits
when does lactational mastitis present
during the first 3 months or when weaning
2 most common causative organisms in lactational mastitis
staph aureus, strep pyogenes
what is the most common risk factor for non-lactational mastitis
smoking
causative organisms in non-lactational mastitis
mixed organisms, anaerobes
clinical presentation of mastitis
painful, tender, red hot breast
fever + general malaise
what is the primary cause of mastitis in lactating women
milk stasis
management of lactational mastitis
flucloxacillin
can women with mastitis continue breast feeding
YES
management of non-lactational mastitis
co-amoxiclav
what is a complication of mastitis
breast abscess
investigation of breast abscess
ultrasound guided aspiration
who usually presents with a breast cyst
perimenopausal women
what does a breast cyst feel like
well defined, soft, mobile and smooth
can cysts be painful
yes - especially before menstruation
what does a cyst look like on mammography
halo shape
how do we diagnose a breast cyst
ultrasound
what do we do with persisting or symptomatic breast cysts
aspirate + send to cytology
management of breast cysts
DO NOTHING IF ASYMPTOMATIC
what is duct ectasia
dilation and shortening of the major lactiferous ducts
who usually presents with duct ectasia
peri-menopausal women
what lifestyle factor is associated with duct ectasia
smoking
