Physical Assessment-Breast

Front 1

what is second leading cause of death in women?

Back 1

breast cancer

Front 2

what is goal of assessment of the breast?

Back 2

note any changes in 'normal'

Front 3

what is the mammary gland?
what is function?

Back 3

composed of 15-20 lobes; each lobe has 50-75 lobules; lobules contain acini cells produce milk

Front 4

anatomical location of breast

Back 4

b/w ribs 2 and 6; sternal edge and midaxillary line

Front 5

2/3 of breast lay over_____and 1/3 is over____

Back 5

pectoralis major; serratus anterior

Front 6

what part of the breast extends in axilla?

Back 6

tail of spence

Front 7

t or f: it is abnormal for breasts to be unequal in size.

Back 7

False

Front 8

name the primary structures of the breast

Back 8

lobe, lobules, milk duct, milk sinuses, acini cells, areola, nipple, ligaments, bld vessels, lymphatic tissue and suporting muscle.

Front 9

what kind of tissue is breast made up of?

Back 9

glandular connective and adipose and smooth muscle and nerve fibers

Front 10

what system are the breasts part of?

Back 10

reproductive

Front 11

what do lactiferous ducts and glands do?

Back 11

carry from glands to sinuses which store

Front 12

areola

Back 12

contains montgomery glands (sebacious glands) that lubricate druing breast feeding

Front 13

coopers ligaments

Back 13

support: fused w/ outer laysers of superfical facia- suspensory lig. attached to chest wall

Front 14

what supplies bld to breast?

Back 14

internal mammary artery

Front 15

name 8 lymphnodes and sites of the breast

Back 15

anterior(pectoral)drains most of breast
central(midaxillary), lateral, internal mammary, parasternal, subscapular, supra and infra clavicular

Front 16

what ethnic group has largest incidence?

Back 16

ashkenazi jews- familial breast cancer gene
white higher incidence, afric. amer higher death rate

Front 17

what are risk factors for cancer?

Back 17

age, fam.history, nulliparity- 1st pregn. after 30, early menarche, late menopause, estrogen high bcp or hrt, carrier of cell brca1 or brca2 10% are

Front 18

4 steps in teache BSE

Back 18

1. look in mirror elevate arms slow than push on hips, leaning forward
2.show technique for palpate
remind of towel under shoulder
3.squeeze nipple b/t index and thumb
4.reporting findings

Front 19

when should bse be done

Back 19

monthly; 7 days after first day of menstruation.

Front 20

who finds the lumps and what %are benign

Back 20

usually woman herself and 80%

Front 21

fibroadenoma of breast

Back 21

well defined mass no pain
round firm movable 1-5cm
usually solitary
early teens or 20s

Front 22

fibrocystic disease

Back 22

thick nodular areas bilateral
mild pain tendernes
mobile upper outer quad
caffein, cystic fluid 18-40

Front 23

interductal papilloma

Back 23

discharge unilaterally
moderate pain
no mass palpable
35-55

Front 24

mammary duct ectasia(dilation)

Back 24

discharge and retraction, pain and itching
subareolar ducts rubbery,
large nodes, early menopausal

Front 25

mastitis

Back 25

pain tenderness- firm red warm; cracked nipples, abscess, large painful nodes, 3-4 weeks postpartum

Front 26

what is the ratio of women who will develop breast cancer

Back 26

1:8

Front 27

what major cause of gynecomastia in men

Back 27

hyperthyroidism

Front 28

t or f: breastfeeding decreases risk for bc

Back 28

true

Front 29

what is pagets disease?

Back 29

malignancy of areola and nipple

Front 30

drugs that affect breast adversly

Back 30

androgen, antidepres.,antipsych, cardiac glycosides,estrogen, oral contraceptive, progest, cimetidine, reserpine

Front 31

what is mastalgia

Back 31

breast pain or tenderness