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7/28/2019 Breasts and Regional Lymphatics Session 9
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Chapter 17
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Structure and Function
Subjective DataHealth History
Questions
Objective Data
Physical Exam
Abnormal Findings
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Surface anatomy
Location of breasts
on chest wall
Axillary tail
of Spence
Nipple and areola
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Internal anatomy
Glandular tissue Lobes, lobules, and alveoli
Lactiferous ducts and sinuses Fibrous tissue Suspensory ligaments or
Coopers ligaments
Adipose tissue
Four quadrants of the breast
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Lymphatics
Axillary nodes
Central
Pectoral (anterior)
Subscapular (posterior)
Lateral
Drainage patterns
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Developmental care
Adolescent
Puberty
Pregnant female
Aging female
MenopauseMale breast
Cross-cultural care
Breast cancer
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Breast
Pain
Lump Discharge
Rash
Swelling
Trauma
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History of breast disease
Surgery
Self-care behaviors
Breast self-examination
Last mammogram
Axilla
Tenderness, lump, or swelling
Rash
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Additional history for preadolescent
Changes in breasts
Other changes
Additional history for pregnant female
Enlargement of breasts
Plans to breastfeedAdditional history for menopausal woman
Changes in breasts
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Preparation
Position
Draping
Equipment
Small pillow
Ruler marked in centimeters
Pamphlet or teaching aid for breast self-examination
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BreastsInspect
General appearance
Skin
Lymphatic drainage areas Nipple
Maneuvers to screen for retraction
AxillaeInspect and Palpate
Skin
Palpation technique
Lymph nodes
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If a lump is present, note
Location
Size
Shape Consistency
Mobility
Distinctness
Nipple retraction
Overlying skin
Tenderness
Lymphadenopathy
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Schedule for self-exam
Correct technique
Return demonstration
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Male breast
Gynecomastia
Developmental care Infants and children
Adolescent
Pregnant female
Lactating female Aging female
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Dimpling
Fixation
Edema (peau dorange)
Deviation in nipple pointing
Nipple retraction
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Benign breast disease (formerly fibrocystic
breast disease)
Cancer
Fibroadenoma
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Mammary duct ectasia
Carcinoma Intraductal papilloma
Pagets disease (intraductal carcinoma)
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Plugged duct
Breast abscess
Mastitis
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Gynecomastia
Carcinoma
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