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19 Cards in this Set

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Diagnostic tests for breast disorders
mammogram, Ultrasound, Breast biopsy
The American Cancer society and NCI recommend a BSE beginning at the age of ____ and a mammogram q 1-2 years at the age of ______ and yearly after the age of ______.
18,40,50
Breast exam by health professional
Age 20-40 q _______years
Annually if Family Hx Breast CA
Known BRCA gene abnormality
Age 40 and above every year
3
Mastalgia is __________ with two types ___________ and ________________.
breast pain
cyclic
non-cyclic
Cyclic mastalgia is r/t hormonal sensitivity can be described as
diffuse breast tenderness or heaviness
non-cyclic mastalgia is r/t trauma, fat necrosis or duct ectasia can be described as
burning aching and soreness
What diagnostic test is done to rule out cancer and provide the cause of mastalgia
Mammography
What is the recommended tx for mastalgia
decrease caffeine and dietary fat, taking Vit. E, A and B, primrose oil, and a support bra
What is the most common etiology of a breast infection?
lactation
Mastitis is an
inflammatory condition of the breast that occurs most frequently in lactating women
Manifestations of mastitis
a localized area that is erythematous, painful and tender to palpatation and fever.
the recommended tx for lactational breast abscess
antibiotics, surgical incision and drainage with culture.
Collaborative care for infections
Antibiotics - Staph common
Continue breastfeeding unless purulent drainage
Monitor fever
Palpable mass - I & D
R/O inflammatory breast cancer
Fibrocystic Breast Changes
Benign, Pain, nodularity
Most of pts. not at increased CA risk
Often age 35 to 50
Often decreases post-menopause, unless HRT
Mammogram, Ultrasound
a breast cyst can be _______ or ________
palpable mass or a non-palpable mass
Most common breast mass (lumps) found in young women
fibroadenoma
fiberadenoma
Most common breast mass < age 25
More common in African American
Rarely r/t breast CA
Growth stimulated by pregnancy
fiberadenoma
Physical exam
Small
Round
Painless
Mobile
Firm, rubbery

Mammogram
Biopsy required
fiberadenoma
Surgical excision
Cryosurgery
Teaching for regular BSE

Not altered by radiation, hormone RX