A thoroughly summarised revision tool to understand cardiovascular medicine.
Key features include:
1. Most common conditions such as breast cancer, fibroadenoma, mastitis, breast abscess and more.
2. Pathophysiology and clinical presentation including buzzwords tailored for exam preparation
...
, - Breast inflammation (warmth)
- Breast firmness
- Breast swelling
- “Wedge shaped area” (lactational)
Signs
Investigations Clinical diagnosis:
- Nipple discharge culture/sensitivity can be considered
- If associated mass > 2WWE
Management Lactational:
- More frequent feeding
- Breast pumping
- Ibuprofen/paracetamol
- Flucloxacillin – if severe: infected nipple fissure, symptoms not
improving, breast milk culture +ve
Non-lactational:
- Ibuprofen/paracetamol
- Warm compress
- Predisposing factors (eczema/candida)
- Co-amoxiclav for all
Breast Abscess
Definition Localised collection of pus within breast tissue – secondary to infection
- S. aureus most common
*Usually caused by failed treatment of mastitis/cellulitis
Epidemiology
Aetiology
Risk Factors
Symptoms - History of mastitis (recent)
- Malaise
- Painful/swollen breast
- Redness
- Discharge
- Fever
- Inflammation/warmth of breast
- Purulent discharge
Signs
Investigations Refer urgently to secondary care
- Breast US
- MC+S of discharge
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