Exam (elaborations)
NURO 733 Breast Conditions Exam Study Guide
- Course
- Institution
NURO 733 Breast Conditions Exam Study Guide ...
[Show more]
Content preview
NURO 733 Breast ConditionsExam Study Guide
estrogen - Answer stimulating the ductal portion of the glandular system
Progesterone - Answer stimulating the alveolar or milk-producing components of the
system
changes with age - Answer As women age, breasts become less dense and most women
progressively acquire more fat and fibrous connection tissues that gradually replace the
glandular tissue.
cancerous breast lesion - Answer hard, rocky, immobile mass with irregular or
ill-defined borders.
Cyclic breast pain - Answer bilaterally during the luteal phase of the menstrual cycle
and resolves after the onset of menses. It is often described as sharp, shooting, or deep
aching and throbbing pain.
cyclic breast pain - Answer common with normal breasts, oral contraceptives, and
benign (fibrocystic) disease
hormone related breast pain - Answer increased estrogen secretion from the ovary,
deficient progesterone production, and hyperprolactinemia.
Noncyclic breast pain - Answer mastitis, cysts, tumors, history of breast surgery, or
medications, or it may be idiopathic. Noncyclic mastalgia tends to be localized,
subareolar, or medial, and is characterized as tender, burning, stabbing, pulling, or
pinching.
mastaglia not improved with NSAIDS - Answer Physician consultation may be indicated
for women whose pain is not controlled with NSAIDs.
For women with more severe mastalgia, danazol (Danocrine), tamoxifen (Nolvadex),
toremifene (Fareston), gonadotropin analogues, and gestrinone (Dimetriose)
Danazol (Danocrine) 100-200 mg/day has been found to relieve breast pain but is
associated with significant side effects such as depression, acne, and hirsutism.
Low-dose tamoxifen (Nolvadex) at 10 or 20 mg/daily is effective as well, and has fewer
side effects than danazol.
benign nipple discharge - Answer bilateral, multiductal, and milky or green in color, and
occurs with breast manipulation
, Abnormal Nipple Discharge - Answer Mammary Duct Ectasia
Carcinoma
Intraductal Papilloma
Paget's Disease (Intraductal Carcinoma)
unilateral, clear, serous, or bloody, and occurs spontaneously is more likely to be
associated with cancer, especially when it occurs in conjunction with a breast mass and
in women who are older than 40 years.
galactorrhea - Answer associated with prolactin-secreting pituitary adenomas,
medications that inhibit dopamine (e.g., some psychotropic medications SSRI, MOAI,
combined oral contraceptives, metoclopramide [Reglan], phenothiazines),
hypothyroidism,
breast stimulation,
trauma, and
herpes zoster
hyperprolactemia
Fibrocystic changes - Answer hormonal stimulation
rare in postmenopausal women.
These changes may be asymptomatic or associated with pain, tenderness, and bumpy
areas throughout the breast tissue that fluctuate with the menstrual cycle.
Clinical findings include symmetrical nodularity, with nodularity being more prominent
in the upper outer region of the breast, and consistency described as like a "bag of
beans."
The fibrous tissue may feel firm or rubbery but not rock hard. The cystic portion may
feel like grapes.
Tx of Fibrocystic breast disease? - Answer Support bra, bra at night, NSAIDS
OCP's, cyclic HRT
Possible Excision (only in severe cases)
breast cysts - Answer 25-50yo, most common breast mass
soft, well circ, round, mobile
may be tender, unilateral/bilateral
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Zayla. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now