Breast and Urological history Flashcards

1
Q

Features of breast lump

A
Site
When did you first notice?
Change?
Pain?
Trauma?
Nipple/skin changes
Nipple discharge
Changes throughout menstrual cycle?
Breast feeding? Parity?
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2
Q

Associated symptoms w/breast lump

A
SOB
Skin changes elsewhere
Weight loss
Swelling
Malaise
Backache
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3
Q

Breast cancer risk factors

A
Contraceptive pill/HRT
Smoking
Previous breast cancer
Early menarche/late menopause
Nulliparity/no breastfeeding
FH
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4
Q

What is the triple assessment for breast cancer?

A

History and examination
Imaging (Mammography/USS)
Sampling (fine needle aspiration/core biopsy)

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5
Q

Breast lump differentials and ages

A
Fibroadenoma (20-35)
Fibrocystic change (20-40)
Abscess (20-30)
Cyst (40-50)
Malignancy (40-70)
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6
Q

Key urological symtpoms

A
Dysuria 
Frequency
Urgency
Nocturia
Haematuria 
Hesitancy and terminal dribbling
Poor urinary stream 
Incontinence
Fever / rigors- infection / urosepsis
Nausea / vomiting -pyelonephritis
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7
Q

Relevant urological PMH

A

Recurrent urinary tract infections (UTIs)
Incontinence – stress incontinence / functional incontinence
Prostate issues – benign prostatic hypertrophy / prostate cancer
Renal – renal stones / pyelonephritis / chronic renal failure
Diabetes
Hospital admissions

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8
Q

Relevant urological SH

A

Occupation – increased risk of bladder cancer in those working in specific industries – industrial dyes / textiles / rubber / plastics / leather tanning
Alcohol, smoking, recreational drugs

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