Red Flag Disorders of the Breast

Question 1

Mastitis in pregnancy or puerperium.

Answer 1

2/1 Star
Refer if no improvement in 2 days or if features of an abscess (inflamed mass with severe malaise).
A38 Red Flags of Puerperium
A39 Red Flag Diseases of the Breast

Question 2

Inflamed breast tissue but not breast feeding

Answer 2

2/1 star
It is rare to develop inflammation of the breast tissue if not breastfeeding. It may suggest an underlying tumour
A39 Red Flag diseases of the breast

Question 3

Insufficient breast milk

Answer 3

2/1 Star
If the mother is considering stopping breastfeeding due to insufficient milk, refer to the midwife as once formula is introduced and baby is reliant on it, it is often irreversible.
A38 Red Flags of Puerperium

Question 4

Lump in the breast

Answer 4

1 star
Always refer for investigation. 1 in 10 breast lumps are cancerous.
A39 Red Flag diseases of the breast

Question 5

Eczema of nipple region

Answer 5

1 star
Refer as could be a symptom of Bowens disease which is a form of cancer
A 39 Red Flag of diseases of the breast.

Question 6

Lactation but not breastfeeding

Answer 6

1 star
Might suggest pituitary disorder
A 39 Red Flag of diseases of the breast.

Question 7

Hypopituitarism - Inappropriate lactation, loss of libido, infertility, menstrual disturbances, tiredness, low bp

Answer 7

1 star
A33 Red Flag diseases of the endocrine system