Saturday, August 20, 2011

Round

Round
Aug 2, 7:53 AM
Needle localized incision
Hematoma = heavy bleeding + pain
Clean wound 1-4% infection ESP. Breast, hernia
Latissimus dorsi flap/ blood supply
Morphine bleeding orthostatus
Nipple discharge: milky, non-milky (clear, bloody) is it spontaneous?
ออกกี่จุด - 3S's; associated lesion = mass; imaging under nipple
Screening mammogram not for < 35 y/o
Intraductal papilloma - ??? into duct; usually not premalignant - Bx
for DDx malignant or benign; maybe foresign for papillary CA
Cystic bleeding
Do microdochectomy with excision
CNB less hematoma if malignant suspected
No discharge left, still mass - treat as mass
IPma-> w atypia --> IPmatosis -> DCIS
No need to stop bleeding


Patarapol Withayasakpunt
5101006 SIMD/B

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