Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2025 - Quick Hits 1
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Jan 16, 2025 Nina Clark, a surgical education fellow and ABSITE reviewer, dives into high-yield surgical concepts in this engaging discussion. She breaks down critical topics like breast nerve injuries, metastatic spread via Batson's plexus, and implications of nipple discharge. Key management strategies for LCIS and DCIS are highlighted, along with recommendations for breast cancer screening and imaging. Nina also explores hormonal therapy differences, adjuvant therapy options, and the intricacies of thyroid cancer treatment. Get ready for a rapid-fire review to ace your exams!
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Check Key Nerves After Breast Surgery
- Check axillary and chest-wall nerves after breast surgery to identify sensory or motor deficits early.
- Document intercostobrachial, long thoracic, thoracodorsal, medial and lateral pectoral nerve function at follow-up.
Valveless Route Explains Spine Mets
- Batson's plexus provides a valveless route for hematogenous spread from breast to spine.
- Recognize spine metastases may originate via this plexus rather than lymphatics.
Workup For Concerning Nipple Discharge
- Investigate unilateral or bloody nipple discharge with breast imaging and prolactin level.
- Consider duct excision only after negative imaging and persistent concerning discharge.
