Week 2 - Clinical Correlation Breast

Question 0

What causes physiological nipple discharge?

Answer 0

May occur up to one year after breast feeding.
Galactorrhea: if not pregnant look for endocrinopathy
Medications: antihypertensives, gastrointestinal agents, hormones, opiates, psychotropic agents

Question 1

What are the mammogram guidelines?

Answer 1

• Every other year mammograms 50-74
• 40-49 start discussion and assessment with the patient in the context of the patient’s history
• Benefit over 75 is insufficient

Question 2

Seven P’s for breast exam:

Answer 2

Palpation, Pressure, Perimeter, Position, Pattern, Patient Education, Plan of Action