Probability diagnosis
- Pregnancy
- Cyclical mastalgia
- benign mammary dysplasia
Serious disorders not to be missed
- Neoplasia
- Inflammatory breast cancer
- Infection:
- mastitis
- abscess
- Myocardial ischaemia
Pitfalls
- pregnancy
- chest wall pain e.g. costochondritis
- Pectoralis muscle spasm
- Referred pain esp. thoracic spine
- Bornholm disease (epidemic pleurodynia)
- Mechanical
- bra problems
- weight change
- trauma
- Rarities
- hyperprolactinaemia
- nerve entrapment
- mammary duct ectasia
- sclerosing adenosis
- ankylosing spondylitis
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