Diagnostic Tests for Breast Feeding
Breast Feeding Tests: Book Excerpts
Home Diagnostic Testing
These home medical tests may be relevant to Breast Feeding:
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Breast Feeding Diagnosis: Book Excerpts
Diagnostic Tests for Breast Feeding: Online Medical Books
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Breast Enlargement:
Diagnostic Approach
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
Historyand physical exam are diagnostic in many cases of breast enlargement.Important features are gender, ageof onset, history of drug ingestion, signs of infection, whetherphysical and sexual development are normal, stage of sexual development,and presence of breast mass. Girls
Before puberty,except for the newborn, premature thelarche and precocious puberty aremost common causes of breast enlargement.Girls with unilateral subareolar massesin early puberty usually have normal enlarging breast bud, and excisionalbiopsy should be avoided.In pubertal girl suspected of havingfibrocystic disease, clinical observation for 3 menstrual cyclesis appropriate.Nature of discrete palpable mass (solidvs cystic) can be determined by U/S. Needle aspirationcan be considered if mass persists.Palpable mass that cannot be delineatedby imaging should be followed and excisional biopsy should be considered. Boys
Before puberty,breast enlargement is rare.In obese boys, breasts seem to be enlargedbut no breast tissue is palpable.In pubertal boys, most common causeof breast enlargement is physiologic.Body habitus and testicular size shouldbe noted. If testes are small and serum concentrations of FSH andLH are elevated, diagnosis is almost certainly Klinefelter syndrome.Chromosomal karyotype confirms diagnosis.Drugs, chronic liver disease, and neoplasmsare rare causes of breast enlargement in boys during childhood andadolescence.
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Source: The Diagnostic Approach to Symptoms and Signs in Pediatrics, 2006
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