Mischellaneous Flashcards Preview

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Flashcards in Mischellaneous Deck (8)
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1
Q

How would a breast carcinoma feel

A
Rarely painful 
Irregular, hard
Tethering of skin 
Nipple changes / bloody discharge
Lymphadenopathy 
(Family Hx, age, weight loss, backache/jaundice if advanced metastasis)
2
Q

MRC grading of motor power

A
0 - no contraction 
1- flicker of contraction 
2- movement when gravity eliminated 
3- movement against gravity 
4- reduced power against resistance (-,4,+) slight, moderate, strong resistance 
5 normal
3
Q

How would a breast fibrous denims feel

A
Highly mobile
Rarely painful 
Smooth
Rubbery
Small - sometimes multiple
4
Q

Why ask a patient to lean forwards in a breast exam

A

Exacerbate dimpling

5
Q

Where do most breast cancers develop

A

Upper outer quadrant

6
Q

Nipple discharge colours and meanings

A

Yellow / green - infection

Bloody - maybe malignancy eg papilloma

7
Q

Description of a lump

A
Position 
Size and shape
Consistency 
Overlying skin changes 
Mobility 
Fluctuance (if a cyst hold either side and press middle and you will fee bulge)
8
Q

Investigations after a breast exam

A

Ultrasound
Mammogram
Biopsy to determine histology