Surgery

Question 1

Most common types of breast cancer

Answer 1

Infiltrating ductal and infiltrating lobular carcinoma

Question 2

Facts about lobular carcinoma

Answer 2

Hides, often bilateral

After biopsy reveals, then order bilateral MRI

Question 3

Paget’s disease of breast

Answer 3

Skin manifestation of ductal carcinoma in situ of the nipple!

Question 4

Peau de orange

Answer 4

Can be from mastitis or inflammatory breast cancer (worst one)
-differentiate with skin biopsy

Question 5

Neurogenic claudication

Answer 5

can’t stand, needs to lean over. Does not get worse with exertion

Question 6

Vascular claudication

Answer 6

Worse with exertion
>70% of stenosis causes demand symptoms. 50% will be enough blood flow to supply area
WALKING UPHILL!
can do an exercise test in the clinic

Question 7

TIA workup

Answer 7

Urgent! CT/MRI, carotid ultrasound, EKG (maybe echo)

Start ASA and statin

Question 8

Retinal artery occlusion

Answer 8

Whole vision, shade being drawn down, transient, or darkening from peripheral inward

Question 9

Amaurosis fugax

Answer 9

transient loss of vision in one both eyes