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This document provides instructions for properly examining a patient's breasts. It describes examining the general appearance of the patient including the skin, face, neck and mouth. It then details examining each breast through inspection, palpation and describing any masses or scars found. The examination involves inspecting the breasts for symmetry, shape and nipple alignment. Palpation uses the fingers and hand to feel the breast tissue, lymph nodes and check for masses, pain or discharge. Any masses should be described based on number, size, shape, surface, mobility and skin changes. Scars should also be described.
This document provides instructions for properly examining a patient's breasts. It describes examining the general appearance of the patient including the skin, face, neck and mouth. It then details examining each breast through inspection, palpation and describing any masses or scars found. The examination involves inspecting the breasts for symmetry, shape and nipple alignment. Palpation uses the fingers and hand to feel the breast tissue, lymph nodes and check for masses, pain or discharge. Any masses should be described based on number, size, shape, surface, mobility and skin changes. Scars should also be described.
This document provides instructions for properly examining a patient's breasts. It describes examining the general appearance of the patient including the skin, face, neck and mouth. It then details examining each breast through inspection, palpation and describing any masses or scars found. The examination involves inspecting the breasts for symmetry, shape and nipple alignment. Palpation uses the fingers and hand to feel the breast tissue, lymph nodes and check for masses, pain or discharge. Any masses should be described based on number, size, shape, surface, mobility and skin changes. Scars should also be described.
2. General inspection 3. General examination a. Hands : anemia (pallor), pale, vital signs b. Face: pallor, jaundice c. Bone pain d. Neck: supraclavicular and cervical lymph e. Mouth: central cyanosis 4. Breast examination a. Inspection i. Compare (eye lvl same as breast) Breast position and nipple alignment Symmetry of size, shape, contour Raise hands, raise upwards if abnormal b. Check on one breast i. Must see the lower part of breast for infection/excoriation ii. Surface changes (dimpling,ulcers, engorgement, peau d orange) iii. Nipple (retraction, ulcer, eczema) c. Palpate i. Dun use fingertips cuz may feel ribs only ii. Mass, pain, axilla (lymph nodes), discharge (press on areola) iii. Hand (edema) Description of mass 1. Number, site, size, shape, surface, skin changes, mobility (move on 2 axis on relaxation and contraction) 2. If relaxed, mass will move. If contracted, mass with move with muscle movement. 3. Pinch in 4 quadrant to c any tethering to the skin. Description of scar 1. Site, alignment, size (length and breadth), complication (healed/ hernia), keloid (only if after 6 months), infection, seroma