Breast-Onello Flashcards Preview

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Flashcards in Breast-Onello Deck (20):
1

Supernumeray Nipple

occurs in both men and women along the mammary ridge

2

Polymastia

extra breast tissue extending into axillary region

3

Polythelia

supernumeray tissue from failure of mammary ridge to regress

4

Amastia

absence of nipple/breast and possibly pectoral muscle

5

Gynecomastia

most of the time is part of normal development
- surging hormones --> often resolves
- context matters

6

Initiating Breast feeding

LEARNED SKILL
higher rate in wealthy, educated, whites, non-smokers

7

Continuation of Breast Feeding

less than 35% of women exclusively breast feeding at 4 months

8

Reasons for stop feeding

leaking, engorged breasts, lack of milk, spitting up, sore nipples, latching difficulties

9

Mastitis

use dicloxacillin --> safe for mom and baby
- affected breast --> pump and dump, need to continue "draining" --> otherwise it will be tender and may lose milk supply

10

Gyn-Endocrine history for increased breast cancer

first child after 30, nulliparous women, previous radiation, early menses, late menopause
- having kids/breast feeding decreases your risk

11

Paget's disease of the breast

dermatologic lesion on breast --> keep Paget's disease of breast in back of mind

12

Worrisome breast findings

lumps
skin tethering
nipple inversion
ulceration
nipple scaling
skin of an orange

13

Mammography

X-ray of breast --> special (squish)
- a little bit controversial
- early detection (some cancers do not show up on mammography)
- if implants --> still do mammograms (double lumen)

14

BI-RADS

Category 0-6 (badness increases with #s)

15

Ultrasound of breast

diagnosis of breast densities (still a little opacity, not fluid filled like a cyst)
not a good screening tool
- used for women <30 because breasts not as fatty

16

MRI

good, not a first line defense
- expensive, insurance company etc

17

Risk Factors for breast cancer

3 of 4 women who get breast cancer have no identifiable risk factor!!!!

18

Trauma to breast

if hematoma --> physical abuse???

19

Fibrocystic changes

COMMON
- lumpy bumpy breasts -> can be bilateral, change with cycle, lots of different processes

20

Nipple discharge

WHAT DOES IT LOOK LIKE?
- different processes look different upon discharge