Reproductive Disorders Flashcards
How does metformin help in PCOS?
It increases insulin sensitivity and decreases androgens
What do you give for fertility in PCOS?
Clomid
What diuretic can decrease androgens in PCOS?
Spironolactone
What imaging should you obtain for breast pain <30?
Ultrasound
What imaging should you obtain for breast pain >30?
Ultrasound and mammogram
What percent of nipple discharge is benign?
97%
What’s a good antibiotic for mastitis?
Amoxicillin-clav
What’s the name for “pre-breast cancer” that has a good prognosis
Ductal carcinoma in situ (20%)
Which type of breast cancer is not invasive, has atypical cells found in lobules of milk-producing glands, but creates a 7-11 fold increase in developing an invasive cancer?
Lobular carcinoma in situ
Which type of breast cancer is the most common invasive (80%
Invasive ductal carcinoma
What’s the prognosis of invasive ductal carcinoma?
Varies by stage
Which type of breast cancer is invasive, starts in lobules and then invades surrounding fatty tissue?
Invasive lobular carcinoma (10%)
Which is the rarest type of breast cancer, can invade, has a poor prognosis, and cancer cells block the lymph vessels, but it’s not invasive?
Inflammatory
Which breast cancer is rare (1%), begins in ducts and spreads to the skin of the nipple and areola and skin appears crusted, scaly, red, and it’s associated with ductal carcinoma? It can invade.
Paget’s disease