1 / 16

Breast Hend almalki

Breast Hend almalki. Station 1. a young lactating female she gave a history of 24 hr tenderness and redness. a) The pic . show ?? b) the causative organism is ? c ) DDx ? d ) list 2 Rx ? e ) the affected parts r ??? nipple & the areola ???!!.

libby
Download Presentation

Breast Hend almalki

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Breast Hendalmalki

  2. Station 1 a young lactating female she gave a history of 24 hr tenderness and redness a) The pic. show ?? b) the causative organism is ? c) DDx? d ) list 2 Rx ? e) the affected parts r ??? nipple & the areola ???!!

  3. a- what dose the picture show?Swelling ,redness, pus discharge of the breastB- what is the causative organism?Staphylococcus aureusC- what is the differential diagnosis? Breast abscess proceeded by early phase acute mastitis D- what is the treatment?Antibiotic (dicloxacillin)needle aspiration with culture taken and if large abscess incision and drainage should be done E- what are the affected parts?Breast lobule will be affected via the nipple ,duct system and circulation

  4. Station 2 A- name the abnormality that you see in the picture? B- what is your DDx?c- what is the 1st underlying structure that will concern us if it get attached to this lesion? D- what maneuver that done to make this lesion more clear ? E- list the groups of axillary Lymph node? f- what is the different between benign and malignant breast cancer?

  5. A- name the abnormality that you see in the picture?Skin dimpling caused by tetheringnote :puckering is multiple dimpling of the skin(this note is from doc kurdi session)B- what is your Dx?Breast cancer c- what is the 1st underlying structure that will concern us if it get attached to this lesion? The fibrous septa (cooper`s ligament) that separate breast lobule which may block the lymphatic that run alongside them causing edema of the breast and peau d` orange apperance

  6. D- what maneuver that done to make this lesion more clear ? Ask the patient to raise the hand above the head E- list the groups of axillary Lymph node?

  7. There are six groups can be easily remembered by the acronym 'APICAL' -anterior, posterior,infraclavicular, central,apical and lateral : 1- anterior or medial (pectoral) 2- posterior or inferior (subscapular) 3- lateral ( humeral) 4-(central) or intermediate ( they drain from ant , post and lat then efferents drain into apical) 5- ( infraclavicular or subclavicular) 6-( apical) : the final group , receives its afferents from all other groups and from the mammary tail and its efferents form the subclavian trunk. That was the anatomical classification Surgically, axillary lymph nodes r classified into 3 levels going from lateral to medial in relation to pectoralis minor p.m. muscle: level 1 : lat to p.m. ( mainly ant , post & lat groups) , level 2 : behind p.m. Mainly ( central and some apical nodes) , level 3 : medial to p.m. ( mainly infraclavicular group+ some apical )

  8. f- what is the different between benign and malignant breast cancer?

  9. Finding in mammogram:

  10. Station 3 *describe what u see.? *Dx? *give 3D.Dx for bloody discharge from nipple?

  11. A- describe what you see?Retracted nippleb- what is your differential diagnosis?Congenital retraction, duct ectasia, carcinoma C- give3 differential diagnosis for bloody discharge from nipple?Intraductal Carcinoma ,Intraductal papillomaPaget’s disease

  12. Station 4 Q. describe Q. mention 3 important points that you should ask about in the Hx (risk factors) ? Q. what is the most proper diagnosis ?

  13. A- describe what you see?Bilateral breast enlargementb- mention 3 important points that you should ask about in the Hx (risk factors) ?*Drugs(antihistamine ,cimetidine , anabolic steroid, diuretics spironolactone,estrogen for prostatic cancer ,digoxindecreased testosterone)sign and symptoms of* liver cirrhosis or * bronchial carcinoma D -what is the most proper diagnosis ? gynaecomastia

  14. NB Common Breast Lumps:Young Women: Fibroadenoma / AbscessPregnant : Galactocoele / abscessMiddle aged and elderly women: Cancer higher up the differential diagnosis list. Galactocele: a cystic tumour containing milk or a milky substance Galactocele is usually round and freely mobile Needle aspiration is the choice for diagnosis and treatment with large gauge needle as the content of a galactocele is thick and creamy Surgery is performed when needle aspiration is not possible or when it becomes infected.

  15. Thank you

More Related