Breast History Flashcards
1
Q
What are the main presenting complaints in a breast history?
A
- Lump
- Skin changes
- Nipple shape change
- Discharge
- Mastalgia
- Gynaecomastia
2
Q
What skin changes are important to ask about?
A
- Erythema
- Dimpling
- Peau d’orange
- Paget’s disease
3
Q
What are non-malignant, non cyclical causes of mastalgia?
A
- Tietze syndrome
- Angina
- Gallstones
- Lung disease
- Toracic ooutlet syndrome
- Oestrogens/HRT
- Bornholm’s disease
4
Q
If someone presented with a lump, what questions would you want to ask about?
A
- Previous lumps
- Pain
- Nipple discharge
- Inversion
- Skin changes
- Change in size related to menstraul cycle
- First/last/latest period
- Are they post natal
- Breast feeding
- Drugs
- Systemic features - weight loss, back pain, breasthlessness, abdominal mass
5
Q
If someone presented with breast pain, what would you want to ask?
A
- SOCRATES
- History of trauma
- Any mass
- Related to menstrual cycle
6
Q
What would you want to ask about in the PMH in someone presenting with a breast complaint?
A
- Previous lumps +/- malignancies
- Previous investigations - mammography, clinical exams, USS, FNA
- Other PMH
7
Q
What risk factors would you want to ask about in someone presenting with breast complaint?
A
- Breastfeeding
- Ages - Menarch, Menopause, 1st full term pregnancy
- Meds - OCP, HRT
- Pregnancy - number of
8
Q
What would you specifically want to ask about in the drug history for a breast complaint?
A
- OCP
- HRT
9
Q
What are the main types of Mastalgia?
A
Cyclical and non-cyclical
10
Q
A
