Onello: Breast Diseases Flashcards
(47 cards)
milk line
accessory nipples develop along here
polymastia
extra breast
polythelia
multiple nipples
amastia
abscence of breat nipple and possibly pectoralis
thelarche
breast development
age of thelarche
AA 12.1
caucasians-12.6
MC of gynecomastia in boys
NORMAL development d/t hormonal changes
no pubic hair
I
straight hair extending between labia
II
pubic hair increased in quantitiy, darker, typical female triangle
III
pubic hair more dense, curled, adult distribution
IV
abundant, adult pattern hair that can extend onto medial aspect of thigh
V
who breastfeeds more?
wealthier
more educated
caucasian
non smoker
how long should you breast feed
exclusive for 6 mos
continue for 1 year
why do many women stop breast feeding
insufficient milk supply
key cultural pt about breastfeeding
breastfeeding is a social behavior–we fail/learn how to breastfeed from those around us
common problems encountered during breastfeeding
does NOT fit western lifestyle
hard time feeding after maternity leave
not EASY thing
environmental contaminants in human breast milk
foods- chemicals
hygiene- lotion
pesticides/herbicides
pharmacologic contaminants in breast milk
OTC
prescription
key questions to ask during a breast exam
duration change over time relationship to menses- PERIODS STARTING EARLY, MENSES ENDING LATE nipple discharge presence of pain family hx- BRCA1, MATERNAL gyne-endo hx- NULLIPAROUS, 1ST CHILD AFTER 30, RADIATION EXPOSURE previous cyst aspirations hx of atypical breast hyperplasia
increases risk of breast cancer
nullparious
OR
if 1st child born after 30, radiation
clinical breast exam
inspect breasts seated and supine skin changes palpate entire area of breast nipple discharge supraclavicular/axillary lymph areas cofirm a palpable mass? be aware of normal structures that "mimic"
ideal time in pre-meopausal to do a breast exam
1st week post menses
MASS:
smooth
mobile
well demarcated
Reassuring
**cancer usually DOESN’T HURT