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Flashcards in Breast Deck (36):
1

What meds can cause nipple discharge?

OCP, hormones, phenothiazine, digitalis, diuretics, steroids

2

What are important gene infor>

BRCA 1 or BRCA 2

3

Inflammation and infection of the breast tissue

Mastitis

4

Benign tumors of the subareolar ducts that produce nipple discharge

Intraductal Papillomas and Papillomatosis

5

Benign condition of the subareolar ducts that produces nipple discharge

Duct ectasia

6

Lactation not associated with childbearing

galactorrhea

7

What is paget disease?

surface manifestations of underlying ductal carcinoma

8

Benign breast lump occurs as inflammatory response to local injury

fat necrosis

9

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
Tenderness
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

10

Benign fluid-filled cyst formation caused by ductal enlargement

fibrocystic changes

11

Benign tumors composed of stromal and epithelial elements that represent a hyperplastic or proliferative process in a single terminal ductal unit

fibroadenoma

12

20-49 yo

fibrocystic

13

15-55 yo

fibroadenoma

14

30-80 yo

cancer

15

What is the occurance of fibroadenoma?

bilat

16

What is the occurance of fibrocystic?

bilat

17

What is the occurence of cancer?

unilat

18

What is mobile and what is immobile?

mobile - FC, FA
nonmobile - CA

19

What mass varies with menses?

fibrocystic

20

What one is single and one multiple?

sing or mulp - FC
single, may mulp - FA
single - CA

21

Which mass is tender?

Fibrocystic

22

After menopause, the tumors often regress.

fibroadenoma

23

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.

24

What does unilateral nipple inversion mean?

malignancy

25

What is thelarche?

first signs of puberty in girls

26

What is staging for sex maturation?

tanner

27

What is the interval from breast buds to menarche?

2 years

28

What are nonmodifiable risk factors for breast cancer?

increase age
female
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
DES therapty

29

What are modifiable risk factors of breast CA?

childbirth - nulli or >30 yo
Hormone therapy after meno
ETOH
obestity and high fat
lack of physical activity

30

Who gets a CBE?

40 - annually

31

Who gets a mammogram?

>40 annually
50-74 yo biennial
>75 yo NA

32

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

33

75% of women are menstrating by which tanner stage?

4

34

How do you observe males in PE?

arms hanging at sides

35

What can cause breast enlargement in men?

testicular cancer, klinefelter, hyperthyroidism

36

When is menopause and what is the definition?

50-52, 1 yr with out a period