Sandbox: HS: Difference between revisions
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Differential Diagnosis}} | |||
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Differentiating Features}} | |||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Gynecomastia | |||
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* Round discrete mass felt under areola and usually bilateral. | |||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Pseudogynecomastia | |||
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* Increased adipose rather than glandular tissue on examination. | |||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Lipoma | |||
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* Asymmetric breast enlargement. | |||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Breast cancer | |||
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* Nipple discharge, Axillary lymphadenopathy, usually nonpainful mass. | |||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Sebaceous cyst | |||
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* Asymmetric enlargement and swelling feels closer to skin. | |||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Mastitis | |||
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*Systemic s/s of infection. | |||
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Revision as of 15:48, 8 August 2017
| Differential Diagnosis | Differentiating Features |
|---|---|
| Gynecomastia |
|
| Pseudogynecomastia |
|
| Lipoma |
|
| Breast cancer |
|
| Sebaceous cyst |
|
| Mastitis |
|
ABC
def
| DRUGS | MOA | SIDE | |
|---|---|---|---|
| SDFA | SDFA | DSFA | |
papichulo
Based on the androgen and estrogen balance
- Decreased Testosterone
- Androgen-insensitivity syndrome
- Congenital anorchia
- Five alpha-reductase deficiency
- Hypopituitarism
- Kallman Syndrome
- Klinefelter Syndrome
- Renal Failure
- Testicular trauma
- Torsion of the testes
- Viral orchitis
- Increased Estrogens
- Adrenal cancer
- Chronic liver disease
- Extragonadal germ cell tumors
- Familial gynecomastia
- Hyperthyroidism
- Kidney carcinoma
- Liver cancer
- Lung carcinoma
- Malnutrition
- Other gastrointestinal (GI) tract carcinoma
- Stomach cancer
- Testicular cancer
references
| {{{ stimulatory action }}} | {{{ Breast Tissue }}} | Inhibitory action | |||||||||||||||||||||||||||||
| Right coronary artery | Androgens | ||||||||||||||||||||||||||||||
| Estrogen | Brachiocephalic a | R common carotid a | |||||||||||||||||||||||||||||
| R subclavian a | |||||||||||||||||||||||||||||||
| L common carotid a | Internal carotid a | ||||||||||||||||||||||||||||||
| External carotid a | |||||||||||||||||||||||||||||||
| L subclavian a | Axillary a | ||||||||||||||||||||||||||||||
| Int. thoracic a | |||||||||||||||||||||||||||||||
| Progesterone (Thorax) | Bronchial as | ||||||||||||||||||||||||||||||
| Growth hormone and IGF-1 | Celiac a | L gastric a | |||||||||||||||||||||||||||||
| Common hepatic a | |||||||||||||||||||||||||||||||
| Splenic a | |||||||||||||||||||||||||||||||
| SMA | |||||||||||||||||||||||||||||||
| Renal as | |||||||||||||||||||||||||||||||