Reproduction, Breast Disease, Clinical Approach

Front 1

which type of mastalgia is most concerning? cyclic vs noncyclic?

Back 1

noncyclic - less likely to be hormonal

Front 2

if mastitis is lactation related and responds to antibiotics what is the most likely etiology?

Back 2

staph, strep, or E. coli infection leading to abcess formation

Front 3

if a mastitis is non-lactational, has no response to antibiotics, what must you R/O?

Back 3

inflammatory BCA

Front 4

what is the cause of most benign fibrocystic changes in breasts?

Back 4

hormones

Front 5

what are the two types of fibrocystic hyperplasia and what differentiates them (hint: one is more likely to lead to BCA)

Back 5

1. non-proliferative
2. proliferative - epithelial cell proliferation is present

Front 6

if you where concerned about cancer in a woman with fibrocystic changes in her breasts, what might you do to R/O cancerous origins?

Back 6

aspiration of a macrocyst to check for cancerous components

Front 7

Nipple discharge: which has a worst prognosis?

unilateral vs bilateral

Back 7

unilateral

Front 8

Nipple discharge: which has a worst prognosis?

multi-colored vs. bloody

Back 8

bloody

Front 9

Nipple discharge: which has a worst prognosis?

single duct vs. multiple ducts

Back 9

single duct

Front 10

Nipple discharge: which has a worst prognosis?

lactational vs. non-lactational

Back 10

non-lactational