Summary of HISTORY AND EXAMINATION OF A BREAST CASE
The video titled "HISTORY AND EXAMINATION OF A BREAST CASE" features a discussion led by Dr. Nishan, a consultant surgeon from Bengaluru. The session aims to provide medical students with a concise overview of the essential points needed for presenting a breast examination case, particularly in preparation for upcoming exams.
Dr. Nishan emphasizes the importance of focusing on common diagnoses such as breast cancer, phyllodes tumor, and fibroadenoma. He advises students to prepare detailed histories for these cases, highlighting key demographic factors like age and sex, which are significant in risk assessment for breast conditions. He notes that socioeconomic status, while sometimes mentioned in textbooks, is less critical in practical case presentations.
The discussion includes a structured approach to taking the history of present illness (HPI), which should encompass details about the lump:
- Onset
- Duration
- Progression
- Pain
- Ulceration
Additionally, it covers nipple discharge or retraction, local spread, and distant spread. Dr. Nishan stresses the importance of understanding the mechanisms of metastasis and the relevance of systemic symptoms.
In terms of past medical history, he advises against overemphasizing irrelevant details and instead focusing on pertinent factors that could impact surgical decisions, such as comorbidities. Menstrual and family histories are discussed, with an emphasis on relevant reproductive factors and genetic predispositions.
The video also covers physical examination techniques, including inspection and palpation of the breast, axillary examination, and systemic assessment. Dr. Nishan highlights the importance of noting any abnormalities and understanding the implications of findings such as dimpling, tethering, and lymphadenopathy.
Finally, the session concludes with a mock case presentation to illustrate how to effectively summarize and present findings, followed by a Q&A segment where students can clarify doubts.
Speakers
- Dr. Nishan (Consultant Surgeon from Bengaluru)
Notable Quotes
— 00:00 — « No notable quotes »