4.8 • 1.4K Ratings
🗓️ 12 August 2025
⏱️ 15 minutes
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0:00.0 | Behind the Night, the Surgery Podcast, relevant and engaging content designed to help you dominate the day. We are proud to announce a comprehensive update to our general surgery oral board review content, covering all of the latest score curriculum. |
0:31.5 | We now have 123 up-to-date audio scenarios, all with expert commentary, 10 interactive video scenarios to test your |
0:39.0 | knowledge, and 97 comprehensive operative descriptions that will have you smooth talking your way |
0:45.7 | through the exam. It's all accessible via our top-notch iOS and Android apps, and all for hundreds of |
0:52.7 | dollars less than other review courses. It's the best content |
0:55.8 | at maximum value. Learn more at behind the knife.org. We hope you enjoy this scenario. |
1:01.9 | Dominate the boards. Behind the Knife Premium. |
1:09.8 | Axillary management after neoadgmentvant chemotherapy for breast cancer, developed by |
1:14.1 | Ton Wong, Examiner Jason Bingham, examiner Patrick Georgoff. |
1:19.8 | You were referred to 55-year-old female who recently underwent a routine screening mammogram, |
1:24.6 | which identified a right breast mass. |
1:27.0 | She underwent diagnostic imaging, which showed a three-semitre mass in the upper, |
1:31.4 | outer, right breast, and two abnormal right axillary lip nodes. |
1:37.5 | She underwent cord needle biopsy of the right breast mass and axillary lymph node, |
1:41.9 | which showed invasive ductal carcinoma, 3 ER negative PR negative her 2 negative her |
1:49.4 | her axillary lift node was positive for metastatic carcinoma how would you like to proceed I would |
1:55.4 | start with a thorough history and physical examination and I would want to know if she has had any systemic symptoms concerning for metastatic disease such as weight loss or bone aches |
2:06.1 | I would also want to get a sense of her risk factors for breast cancer including personal or family history of malignancy |
2:12.6 | estrogen exposure as determined by menarche parity breastfeeding men, menopause, and hormone replacement therapy, |
2:19.0 | and history of radiation exposure. |
2:21.8 | I would include a bilateral breast and regional lymph node exam as part of my physical exam, too. |
2:27.3 | She has no relevant personal or family history, and a thorough review of systems is negative. |
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