nipple discarge

Question 1

purulent discahrge with erythema and pain

Answer 1

mastitis

Question 2

purulent discharge plus minus blood

Answer 2

duct ectasia

Question 3

blood stained discharge

Answer 3

intra duct papilloma

Question 4

discharge in malignany ?

Answer 4

blood stained

Question 5

bilateral milky protein discharge

Answer 5

gallactorrhoea (prolactinoma)

drug side effects (anti psychotics and spironolactone)

Question 6

what makes discaharge sinister?

Answer 6

unilateral
blood stained
nipple inversion and palpable mass

Question 7

what is gynaecomastia?

Answer 7

breast tissue in males

Question 8

when are the two peak incidences of gynaecomastia

Answer 8

10 – 16 and 50 – 80.

Question 9

causes of gynaecomastia?

Answer 9

• Puberty.
• Idiopathic.
• Testicular tumours.
• Systemic disease: Hypogonadism, liver cirrhosis.
• Drugs: anabolic steroids, spironolactone, digoxin, GNRH analogues.

Question 10

puberty ca use of gynaecomastia will resolve in

Answer 10

2 years

Question 11

management of gynaecomastia?

Answer 11

treat underlying cause

Question 12

drug management of gynae?

Answer 12

tamoxifen, danazol

Question 13

when would cyclical breast pain start?

Answer 13

1-3 days before menstruation

Question 14

where is cyclical breast pain felt?

Answer 14

discomfort and fullness that is felt on the outside of the breast and ma yardage to the axilla

Question 15

non cyclical breast pain ?

Answer 15

post menopausal and older women

continous or episodic pain that can have a random onset

Question 16

when would you consider imaging of the breast ?

Answer 16

o Unilateral pain.
o Family history of breast cancer.
Abnormal findings on examination

Question 17

what appears to be the best treatment for cyclical and non cyclical breast pain ?

Answer 17

danazol