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Re: Breast discharge From: Paul Prior MD (pprior@fast.net) Thu Oct 3 17:13:46 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby MD: "Re: Breast discharge" Previous message: Paul Prior MD: "Re:Date: Thu, 03 Oct 1996 22:11:41 GMT" In reply to: DoctorJoe@aol.com: "Re: Breast discharge" Next in thread: Gail Waldby MD: "Re: Breast discharge" On Thu, 3 Oct 1996 16:21:45 -0500 (CDT), you wrote: ><<I have a client, age 45, who has been experiencing a clear discharge >from one breast. No pain. Did breast feed her two children. >Mammogram was normal. Any suggestions as to the next step >would be greatly appreciated. She has an HMO, and cannot get >in to the doctor for another 4 weeks. She is terrified.>> > >I would do a Pap smear on the D/C. You sequentially smear about 6 glass >slides and put them in regular Pap fixative (not letting them touch each >other, if they're in the same jar) and have the pathologist read them... I have been taught in medical school and by surgeons locally that breast paps are not indicated. The assessment of a breast discharge should include a close inspection to see how many ductules it is coming from - a single one may be cause from concern, whereas multiple egress is not, assuming the rest of the exam is normal. -- Paul Prior MD pprior@fast.net Home deliveries: PGY-III Ob/Gyn ok for pizzas TRHMC-Reading, PA not for babies Next message: Gail Waldby MD: "Re: Breast discharge" Previous message: Paul Prior MD: "Re:Date: Thu, 03 Oct 1996 22:11:41 GMT" In reply to: DoctorJoe@aol.com: "Re: Breast discharge" Next in thread: Gail Waldby MD: "Re: Breast discharge"

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