Flashcards in Breast Deck (36):
What meds can cause nipple discharge?
OCP, hormones, phenothiazine, digitalis, diuretics, steroids
What are important gene infor>
BRCA 1 or BRCA 2
Inflammation and infection of the breast tissue
Benign tumors of the subareolar ducts that produce nipple discharge
Intraductal Papillomas and Papillomatosis
Benign condition of the subareolar ducts that produces nipple discharge
Lactation not associated with childbearing
What is paget disease?
surface manifestations of underlying ductal carcinoma
Benign breast lump occurs as inflammatory response to local injury
What do you need to document on breast masses?
Location: clock positions and distance from nipple
Size (in centimeters): length, width, thickness
Shape: round, discoid, lobular, stellate, regular or irregular
Consistency: firm, soft, hard
Mobility: movable (in what directions) or fixed to overlying skin or subadjacent fascia
Borders: discrete or poorly defined
Retraction: presence or absence of dimpling; altered contour
Benign fluid-filled cyst formation caused by ductal enlargement
Benign tumors composed of stromal and epithelial elements that represent a hyperplastic or proliferative process in a single terminal ductal unit
What is the occurance of fibroadenoma?
What is the occurance of fibrocystic?
What is the occurence of cancer?
What is mobile and what is immobile?
mobile - FC, FA
nonmobile - CA
What mass varies with menses?
What one is single and one multiple?
sing or mulp - FC
single, may mulp - FA
single - CA
Which mass is tender?
After menopause, the tumors often regress.
How do you do a mastectomy exam?
Palpate the surgical scar with two fingers, using small, circular motions to assess for swelling, lumps, thickening, or tenderness.
What does unilateral nipple inversion mean?
What is thelarche?
first signs of puberty in girls
What is staging for sex maturation?
What is the interval from breast buds to menarche?
What are nonmodifiable risk factors for breast cancer?
BRCA1 or BRCA2
personal hx of breast cancer
fx of breast cancer
previous breast biopsy
race - white women
previous breast radiation
menarch before 12
menopause after 55
What are modifiable risk factors of breast CA?
childbirth - nulli or >30 yo
Hormone therapy after meno
obestity and high fat
lack of physical activity
Who gets a CBE?
40 - annually
Who gets a mammogram?
50-74 yo biennial
>75 yo NA
Who gets MRI?
Known BRCA mutation or untested but have a first-degree relative with a BRCA mutation
Greater than 20% lifetime risk based primarily on family history
Prior mantle radiation
also gets mammogram every year
75% of women are menstrating by which tanner stage?
How do you observe males in PE?
arms hanging at sides
What can cause breast enlargement in men?
testicular cancer, klinefelter, hyperthyroidism