Breast lump Flashcards by James Reilly

Questions to ask

Previous lumps?
Family history?
Pain?
Nipple discharge?
Nipple inversion?
Skin changes?
Change in size related to menstrual cycle?
Number of pregnancies?
Postnatal? Breast feeding?
Drugs e.g. HRT?

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Why is social history important

To try to gain an impression of support network if suspect malignancy

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Drug history

Ask about HRT or the pill

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Examination of breast

Inspection
Palpation
Palpation of axilla for lymph nodes
Further examination

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What further examinations are done

Examine abdomen for hepatomegaly
Spine for tenderness
Lungs (metastatic spread)

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Causes of nipple discharge

Duct ectasia
Intraductal papilloma/adenoma/carcinoma
Lactation

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Management of nipple discharge

Diagnose cause (mammogram, ultrasound, ductogram) then treat appropriately
Cessation of smoking
Microdochectomy/total duct excision can be considered if other measures fail

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Breast lump Flashcards

(7 cards)