Mischellaneous Flashcards
1
Q
How would a breast carcinoma feel
A
Rarely painful Irregular, hard Tethering of skin Nipple changes / bloody discharge Lymphadenopathy (Family Hx, age, weight loss, backache/jaundice if advanced metastasis)
2
Q
MRC grading of motor power
A
0 - no contraction 1- flicker of contraction 2- movement when gravity eliminated 3- movement against gravity 4- reduced power against resistance (-,4,+) slight, moderate, strong resistance 5 normal
3
Q
How would a breast fibrous denims feel
A
Highly mobile Rarely painful Smooth Rubbery Small - sometimes multiple
4
Q
Why ask a patient to lean forwards in a breast exam
A
Exacerbate dimpling
5
Q
Where do most breast cancers develop
A
Upper outer quadrant
6
Q
Nipple discharge colours and meanings
A
Yellow / green - infection
Bloody - maybe malignancy eg papilloma
7
Q
Description of a lump
A
Position Size and shape Consistency Overlying skin changes Mobility Fluctuance (if a cyst hold either side and press middle and you will fee bulge)
8
Q
Investigations after a breast exam
A
Ultrasound
Mammogram
Biopsy to determine histology
