A patient who has had a lumpectomy calls the clinic to talk to the nurse
The patient tells the nurse that she has developed a tender area on her breast that is red and warm and looks like someone "drew a line with a red marker." What would the nurse suspect is the woman's problem?
A) Mondor disease
B) DVT of the breast
C) Recurrent malignancy
D) An area of fat necrosis.
Ans: A
Feedback: Superficial thrombophlebitis of the breast (Mondor disease) is an uncommon condition that is usually associated with pregnancy, trauma, or breast surgery. Pain and redness occur as a result of a superficial thrombophlebitis in the vein that drains the outer part of the breast. The mass is usually linear, tender, and erythematous. Treatment consists of analgesics and heat. Fat necrosis is a condition of the breast that is often associated with a history of trauma. Surgical procedures such as a breast biopsy can cause fat necrosis. It may be indistinguishable from carcinoma, and the entire mass is usually excised. The scenario described does not indicate a recurrent malignancy. DVTs of the breast do not occur.
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a. Once every 8 hours for at least 30 minutes b. Once every 4 hours for at least 15 minutes c. Once every 2 hours for at least 10 minutes d. Once every 1 hour for at least 5 minutes
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