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