ACUTE MESENTERIC ISCHAEMIA SYMPTOMS: Sudden onset of severe abdominal but the abdomen is soft and there is no finding in clinical examination of the abdomen. Patient can present wih per
Day: March 21, 2017
DIFFERENTIAL DIAGNOSIS OF DISCHARGE FROM THE NIPPLEDIFFERENTIAL DIAGNOSIS OF DISCHARGE FROM THE NIPPLE
BLOOD STAINED DISCHARGE: It can be caused by Paget’s disease Duct papilloma especially if discharge is from the duct, usually single duct: Ductography/ ductogram is indicated. Breast cancer CLEAR DISCHARGE:
DIFFERENTIAL DIAGNOSIS OF SKIN CHANGES AROUND NIPPLE OF BREASTDIFFERENTIAL DIAGNOSIS OF SKIN CHANGES AROUND NIPPLE OF BREAST
If nipple skin changes and areola area e.g. eczematous changes or inflammatory changes then it’s likely to be Paget’s disease, especially if unilateral: Go for open biopsy or punch biopsy.
BREAST CANCERBREAST CANCER
RISK FACTORS Strong family history of breast cancer (genetic factors-BRCA 2 gene) Early menarche and late menopause Nulliparity CLINICAL FEATURES Palpable, hard, irregular, fixed breast lump, usually painless Nipple retraction