Breast pain and discharge

(Redirected from Breast Pain and Discharge)
Jump to navigation Jump to search
Breast pain and discharge

WikiDoc Resources for Breast pain and discharge

Articles

Most recent articles on Breast pain and discharge

Most cited articles on Breast pain and discharge

Review articles on Breast pain and discharge

Articles on Breast pain and discharge in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Breast pain and discharge

Images of Breast pain and discharge

Photos of Breast pain and discharge

Podcasts & MP3s on Breast pain and discharge

Videos on Breast pain and discharge

Evidence Based Medicine

Cochrane Collaboration on Breast pain and discharge

Bandolier on Breast pain and discharge

TRIP on Breast pain and discharge

Clinical Trials

Ongoing Trials on Breast pain and discharge at Clinical Trials.gov

Trial results on Breast pain and discharge

Clinical Trials on Breast pain and discharge at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Breast pain and discharge

NICE Guidance on Breast pain and discharge

NHS PRODIGY Guidance

FDA on Breast pain and discharge

CDC on Breast pain and discharge

Books

Books on Breast pain and discharge

News

Breast pain and discharge in the news

Be alerted to news on Breast pain and discharge

News trends on Breast pain and discharge

Commentary

Blogs on Breast pain and discharge

Definitions

Definitions of Breast pain and discharge

Patient Resources / Community

Patient resources on Breast pain and discharge

Discussion groups on Breast pain and discharge

Patient Handouts on Breast pain and discharge

Directions to Hospitals Treating Breast pain and discharge

Risk calculators and risk factors for Breast pain and discharge

Healthcare Provider Resources

Symptoms of Breast pain and discharge

Causes & Risk Factors for Breast pain and discharge

Diagnostic studies for Breast pain and discharge

Treatment of Breast pain and discharge

Continuing Medical Education (CME)

CME Programs on Breast pain and discharge

International

Breast pain and discharge en Espanol

Breast pain and discharge en Francais

Business

Breast pain and discharge in the Marketplace

Patents on Breast pain and discharge

Experimental / Informatics

List of terms related to Breast pain and discharge

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Synonyms and key words: Mastalgia

Breast pain is a common symptom in general surgical practice. Breast discharge is rarely normal except for lactating and pregnant women.

Differential Diagnosis

In alphabetical order. [1] [2]

Breast Discharge

Breast Pain

Diagnosis

History and Symptoms

  • Thorough history examination
    • Family history
    • Menstrual history
    • Pregnancy history

Physical Examination

  • Pattern and duration of pain (and/or discharge)
  • Complete breast examination after menstrual flow (at least 7-9 days)

Laboratory Findings

Chest X Ray

  • Chest x-rays may be indicated to rule out secondaries in lungs or ribs.

Echocardiography or Ultrasound

  • Ultrasounds distinguish between a cyst or a solid mass

Other Imaging Findings

  • In patients older than 30 years, a diagnostic mammogram is indicated
  • If available, compare with previous mammogram

Other Diagnostic Studies

  • Breast biopsy
  • Galactogram
  • Ductogram
  • Fine needle aspiration
  • Cytologic exam (of discharge)

Treatment

  • Avoid caffeine for those patients with fibrocystic changes (decreases pain)
  • Routine follow-up
  • Warm compress for those patients with mastitis

Pharmacotherapy

  • Medical therapies as a means of pain relief for those patients with fibrocystic changes

Acute Pharmacotherapies

Surgery and Device Based Therapy

  • Aspirations for fibrocystic changes and for cysts
  • Surgery may be required for those patients with breast cancer
  • For patients with an abscess, incision and drainage are indicated

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Acknowledgements

The content on this page was first contributed by

List of contributors:


Suggested Reading and Key General References

Suggested Links and Web Resources

For Patients


Template:WS