gyn-breast medicine
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| each breast contains ___-___ glands/lobules that are separated by adipose tissue | 20-40
🗑
|
||||
| 97% of the lymph drainage is via the ______ nodes | axillary
🗑
|
||||
| Breast tissue consists of...? | lobular, ductal, connective, adipose tissue
🗑
|
||||
| breast CA is the leading cause of death overall for women aged ____-____ | 40-59
🗑
|
||||
| abnormal breast masses are evaluated by ____ in women <30yo and by _____ in women >30yo | sonogram, mammography
🗑
|
||||
| what age women usually get cysts? | middle aged women
🗑
|
||||
| PE reveals a palpable, unilateral, soft-firm, round, mobile mass that is often TENDER | cyst
🗑
|
||||
| how to tx a cyst? what does this tell you? | aspirate the cyst. clear fluid=no further eval. blood/turbid=send to cytology
🗑
|
||||
| indications for excising a cyst | blood fluid, palpable mass after aspiration, fluid reaccumulates in 2 wks, or cyst recurs even after 2 aspirations
🗑
|
||||
| a condition where cysts of microscopic or larger size develop in the breasts and surrounding tissue becomes ticketed, bumpy, and fibrous (glandular and ductal tissue may also change) | fibrocystic breast dz/fibrocystic condition
🗑
|
||||
| fibrocystic breast dz usually occurs in what age women? | middle aged women
🗑
|
||||
| fibrocystic condition RARELY develops in _________ women | postmenopausal
🗑
|
||||
| PE of fibrocystic condition? | bilateral, clumpy, mobile, symmetrical masses, and possible multiple masses. tenderness if CYCLIC
🗑
|
||||
| if dx of fibrocystic condition remains uncertain after sono/mammo, what do you do? | aspirate for biopsy
🗑
|
||||
| tx of fibrocystic condition should center around what? | alleviation of pain
🗑
|
||||
| fibroadenomas usually occur in who? | young women (<30yo)
🗑
|
||||
| PE of a fibroadenoma? | unilateral, round, smooth, mobile, firm/rubbery, usually 1cm or larder, and NON-TENDER
🗑
|
||||
| if sono/mammo of fibroadenoma leaves any doubt, what do you do? | biopsy w/ fine needle aspiration (FNA)
🗑
|
||||
| how to tx biopsy-confirmed fibroadenoma? | can be left alone, tx w/ cryoablation of excised if large
🗑
|
||||
| if a fibroadenoma grows quickly and becomes large (>5cm), what is it called? how do you tx? | phyllodes tumors. requires excision
🗑
|
||||
| pts w/ breast CA often present with what? | a mass
🗑
|
||||
| is the CA is progressed, pt may also present with what? | weight loss, anorexia, night sweats, fatigue
🗑
|
||||
| PE of breast CA? | firm-hard, usually NON-TENDER, difficult to distinguish from surrounding tissue, non-mobile, usually unilateral
🗑
|
||||
| most breast CA are what? | infiltrating ductal carcinoma
🗑
|
||||
| crusting, scaling, erosion around the nipple. discharge common. a form of ductal carcinoma | paget disease of the nipple
🗑
|
||||
| erythematous, warm, peau d'orange skin. axillary lymph nodes palpable but no detectable mass | inflammatory breast carcinoma
🗑
|
||||
| a new-onset breast mass in women >___ yo, is considered CA until proven otherwise | 50yo
🗑
|
||||
| ___-___% of breast CA are a result of BRCA1 and BRCA2 | 5-10
🗑
|
||||
| risk-reducing meds for breast CA | tamoxifen or raloxifene
🗑
|
||||
| if a 1st degree relative had PRE-menopausal breast CA, start annual screen ___ yrs earlier than the CA was first detected in the relative | 10
🗑
|
||||
| HER2/neu is ______ aggressive CA than other cancers w/o this mutation | more
🗑
|
||||
| hormonal therapy is highly effective in decreasing recurrence in hormone receptor ______ CAs and should be prescribed for ___ yrs follow CA tx. | positive, 5yrs
🗑
|
||||
| Aromatase inhibitors are only for ________ women w/ hormone receptor _____ CA. | post-menopausal women, positive
🗑
|
||||
| when is chemo used? | if lymph nodes test positive or tumor is larger than 1cm
🗑
|
||||
| if biopsy shows HER2/neu over expression there is an indication for what? | chemo plus a tissue-targeted med
🗑
|
||||
| who should you NEVER give HRT to? | breast CA survivors
🗑
|
||||
| when should you be concerned about nipple discharge? | blood, unilateral and persistent, associated w/ a mass, or is spontaneous
🗑
|
||||
| most common cause of bloody nipple discharge? tx? | intraductal papilloma (benign). excise the duct
🗑
|
||||
| what are some causes of galactorrhea? | high levels of prolactin in blood. caused by pregnancy, a pituitary tumor, hypothyroidism, excessive exercise or a side-effect of certain meds
🗑
|
||||
| meds that lower _____ levels will trigger a rise in ______ levels | dopamine, prolactin
🗑
|
||||
| some meds that cause galactorrhea? | antipsychotics, cimetidine, ranitidine, metoclopramine, SSRIs, TCAs, verapamil, opiates
🗑
|
||||
| if _____ is normal, but prolactin is ______, order a MRI of ____ _____ to evaluate for a ______ tumor | thyroid, high, sella turcica, pituitary
🗑
|
||||
| mastitis is most often caused by? | Staphylococcus aureus
🗑
|
||||
| presentation of mastitis? MC in? | localized redness, warmth, tenderness. fever and lymphadenopathy are common. MC in breast feeding women
🗑
|
||||
| tx of mastitis | Dicloxacillin. pt can continue to breast feed
🗑
|
||||
| presentation of breast abscess? | localized collection of pus, usually in a blocked milk duct/galactocele
🗑
|
||||
| tx of breast abscess? | Dicloxacillin. drain the abscess w/ either needle or incision
🗑
|
||||
| imaging is not usually necessary for breast pain, but if pain is _____, and no cause can be identified or if pt has risk factors, consider imaging | focal (not diffuse)
🗑
|
||||
| breast extends from the _____ to the _____ _____ and from the _____ to the _______ line | clavicle, 6th rib; sternum, midaxillary
🗑
|
||||
| best time for breast eam | soon after menses
🗑
|
||||
| most common location of malignant lesion is in the _______ | upper outer quadrant
🗑
|
||||
| if common reasons for gynecomastia are ruled out order a ______. any detectable level could mean what? | B-hCG. could mean a testicular tumor or other malignancy, or hypogonadism
🗑
|
||||
| other rare causes of gynecomastia? | Klinefelter syndrome, liver dz, hyperthyroidism, renal failure
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
rjerome09
Popular Medical sets