CME : Your SA Journal of CPD - Volume 28, Issue 11, 2010
Volume 28, Issue 11, 2010
Source: CME : Your SA Journal of CPD 28 (2010)More Less
We are drawing to the end of 2010 and, from the perspective of medicine, there has been a lot happening. One of the biggest debates this year is the issue of the proposed National Health Insurance (NHI) system in South Africa. It was originally intended to be rolled out as fast as possible with implementation within the next couple of years. However, sense has prevailed and it appears that this is not likely to become a reality until around 2014 - or at least that is what we now hear.
Author Eugenio PanieriSource: CME : Your SA Journal of CPD 28 (2010)More Less
This edition of CME focusing on benign breast disease is long overdue - breast symptoms are common, and when the dreaded carcinoma is excluded, all too often patients are left to fend for themselves, with little guidance about the management of the actual underlying concern or pathology.
Author Jenny EdgeSource: CME : Your SA Journal of CPD 28, pp 500 –503 (2010)More Less
Author Shas CacalaSource: CME : Your SA Journal of CPD 28, pp 508 –513 (2010)More Less
During pregnancy and lactation the breast can be affected by a variety of specific and unique disorders. In addition to mastitis, lactational abscesses and other benign conditions unique to pregnancy and lactation, any breast problem seen in the non-pregnant woman may present during pregnancy or lactation. In this article some of the commoner and interesting problems are reviewed.
Author Ryno VersterSource: CME : Your SA Journal of CPD 28, pp 513 –514 (2010)More Less
A history and clinical examination in conjunction with radiology will resolve many breast problems. Some patients require a further procedure to evaluate their problem. Many such procedures can be performed in the consulting room under local anaesthesia, but some may require general anaesthesia in an operating theatre. Most of the procedures can be performed by non-specialist medical practitioners, with good results.
Author Ines BuccimazzaSource: CME : Your SA Journal of CPD 28, pp 515 –518 (2010)More Less
Patient complaints of breast lumps or lumpiness are common, ranging from 40% to 70% in women seeking advice. A breast lump, either self detected, screen detected or clinician detected, raises the fear of breast cancer in any woman, irrespective of age. Fortunately, the vast majority of breast lumps are benign, but this does not negate the need for evaluation of any palpable breast lesion. Failure to diagnose breast cancer accounts for the most frequent and expensive claims brought against physicians.
Public education about breast cancer has heightened awareness regarding breast health, and it is anticipated that an increasing number of women will present for the evaluation of breast masses.
Author Anne GudgeonSource: CME : Your SA Journal of CPD 28 (2010)More Less
A nipple discharge is only significant if it is spontaneous. Most women who have been pregnant can elicit a discharge if the nipple is constantly squeezed. Some women do this as part of their breast self-examination and should be discouraged from doing so.
Investigation of a nipple discharge includes a good history, breast examination and investigations.
Author Keith AlcornSource: CME : Your SA Journal of CPD 28 (2010)More Less