OB Ch. 6 Study Guide .docx - Chapter 6 Common Gynecologic...

  • No School
  • AA 1
  • 13

This preview shows page 1 - 3 out of 13 pages.

Chapter 6: Common Gynecologic Problems Fibrocystic Breast Changes Benign Breast Disease = Fibrocystic Breast Changes Most common of benign breast disorders Women 20-50 years old Fibrosis = thickening of normal breast tissue Accompanying cyst formation is later change in condition NOT risk factor for breast cancer Rare cases, if changes are proliferative and results in hyperplasia or buildup of the cells of the breast ducts, atypia may occur Cyclic pain, tenderness, and swelling most pronounced before menses Only mild signs of irregularity, or dense breasts with areas of irregularity and nodularity (lumpiness) Some may have expressed nipple discharge o (unilateral and serosanguineous most alarming) Large, fluid filled cyst = localized painful area as capsule containing accumulated fluid distends coincident with cycle Small cysts = diffuse tenderness Cysts more mobile and tender than malignancies Cancer = fixed and associated with skin retraction Mammography, sonography, MRI, palpation, and fine-needle aspiration = confirm BBD Fine-needle aspiration = treatment as well Biopsy only used if diagnosis is questionable Mild symptoms = restrict sodium and mild diuretic before menses Severe cases = danazol to suppress FSH and LH, resulting in anovulation o May result in masculinization o Try bromocriptine if no response Methylxanthines (caffeine products) may contribute to development Fibroadenoma Common benign tumor for women in teens and early twenties Not significantly associated with breast cancer Freely movable, solid tumors that are well defined, sharply delineated, and rounded with a rubber texture Ultrasound finds these b/c of density of breast tissue Monitor size and appearance Surgically removed only if findings abnormal Galactorrhea = nipple discharge not associated with lactation Hormone therapy and women using contraceptives find this normally Certain psychiatric meds Most common come from both breasts, secreted from several ducts, and vary in color from white to brown Bad = from a single breast or duct with watery/bloody discharge Intraductal papilloma’s = tumors growing on terminal end of a duct, or sometimes throughout the duct o Unilateral mass or spontaneous and often bloody nipple discharge Papillomas = present as solitary nodules o Often detected in mammography or nonpalpable o Serosanguineous or brownish-green discharge cause fright Duct ectasis (comedomastitis) – inflammation of the ducts behind the nipple commonly occurring during or near the onset of menopause o Women who have birthed and nursed children o Increase in maternal grandular secretions with the resulting production of an irritating lipid fluid that can produce nipple discharge o Thick, sticky nipple discharge and burning pain, pruritus, and inflammation
Image of page 1

Subscribe to view the full document.

o Possibly also nipple retraction o Drug therapy aimed at fixing symptoms Nurse Management o
Image of page 2
Image of page 3
  • Fall '19

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask 0 bonus questions You can ask 0 questions (0 expire soon) You can ask 0 questions (will expire )
Answers in as fast as 15 minutes