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Flashcards in Mischellaneous Deck (8)
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1

How would a breast carcinoma feel

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

2

MRC grading of motor power

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

How would a breast fibrous denims feel

Highly mobile
Rarely painful
Smooth
Rubbery
Small - sometimes multiple

4

Why ask a patient to lean forwards in a breast exam

Exacerbate dimpling

5

Where do most breast cancers develop

Upper outer quadrant

6

Nipple discharge colours and meanings

Yellow / green - infection
Bloody - maybe malignancy eg papilloma

7

Description of a lump

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

Investigations after a breast exam

Ultrasound
Mammogram
Biopsy to determine histology