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16 Cards in this Set

  • Front
  • Back
Breast Landmarks
Breast
Areola
Nipples
Tail of Spence
Tail of Spence
Superior lateral corner of breast tissue
Lymphatic System
*Central Axillary nodes- high up in the middle of axilla
*Pectoral- edge of the pectoralis major, inside axilla fold
*Sub Capular-lateral edge of scapula
*Lateral- along humerus, inside upper arm
Subjective data
Pain
Lumps
Thickening
Discharge/Rashes
Swelling
Past breast surgery
Self care behavior
Self Breast Exam
Is the most important. Should be done every month. After woman's 20's
Menarche
Beginning of menstruation. When breasts start to develop
Objective Data
Symmetry
Nipple discharge
No retraction
No dimpling
No puckering
No edema
No peau d'orange
breast exam
Dimpling of breast
AKA skin tether
Cancer causes fibrosis that contracts the suspensory ligaments
Edema
Peau d'Orange
Thickens the skin and exaggerates hair follicle
Suggests cancer
Low Risk factors for breast cancer
Nulliparity
Early Menarche
Late Menopause
Post menopause obesity
High Risk Factors for Breast Cancer
Family history
Age > than 60
Born in America or Europe
Atypical Hyperplasia ID on biopsy
Mamographies
Baseline
Recommended at age 40 and then yearly
Mamographie
High Risk
Less than age 40
Mamographie
Clinical Exam
20-39 years old -- Every 3 years
Methods of Breast Exam
Concentric Circles - start at nipple and then around
Spoke or Wheel - start at nipple and outwards
Bimanual- pressing with 2 hands
Most important place to examine
Upper outer quadrant