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  • Assessment of Breasts

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    joslinjohn
    23 vues15 pages
    The breasts are inspected and palpated to check for abnormalities like masses, skin changes, or nipple retraction. During palpation, the client raises their arms and flexes their chest muscles to better examine the breast tissue. Both breasts are checked and compared. Secretions may be expressed from the nipple, which should be clear or milky colored without blood. Lymph nodes in the underarm and above the collarbone are also examined. The process is similar for male breast exams to check for issues like gynecomastia.

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    breast assessment

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    The breasts are inspected and palpated to check for abnormalities like masses, skin changes, or nipple retraction. During palpation, the client raises their arms and flexes their chest muscles to better examine the breast tissue. Both breasts are checked and compared. Secretions may be expressed from the nipple, which should be clear or milky colored without blood. Lymph nodes in the underarm and above the collarbone are also examined. The process is similar for male breast exams to check for issues like gynecomastia.

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    © All Rights Reserved
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    23 vues15 pages

    Assessment of Breasts

    Transféré par

    joslinjohn
    The breasts are inspected and palpated to check for abnormalities like masses, skin changes, or nipple retraction. During palpation, the client raises their arms and flexes their chest muscles to better examine the breast tissue. Both breasts are checked and compared. Secretions may be expressed from the nipple, which should be clear or milky colored without blood. Lymph nodes in the underarm and above the collarbone are also examined. The process is similar for male breast exams to check for issues like gynecomastia.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PPT, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 15

    ASSESSMENT OF BREASTS

    BREAST
    Thebreastistheupperventralregionofthetorsoof
    aprimate,inleftandrightsides,whichin
    afemalecontainsthemammaryglandthat
    secretesmilkusedtofeedinfants.
    Bothmenandwomendevelopbreastsfromthe
    sameembryologicaltissues.However,atpuberty,
    femalesexhormones,mainlyestrogen,promotebreast
    development,whichdoesnotoccurinmen,duetothe
    higheramountoftestosterone.Asaresult,women's
    breastsbecomefarmoreprominentthanthoseofmen.
    BreastAssessment-Inspection
    Seatclientonsideofbedorexamtable
    Inspect for:
    Visiblemasses(changeincontour)
    Skindimpling
    Nippleretraction
    Redness
    Instructtheclienttoraiseherarmswhileyoucontinuetowatchthe
    breasts.
    Anunderlyingmalignancycanfixtheskininplace.
    Raisingthearmswillhighlightthesechanges.
    Haveherflexthepectoralismajormuscles.Asimpleway
    todothisishaveherplaceherhandsonherhipsand
    squeezeinward.Anotherwayishaveherplaceher
    palmstogether(prayingposition)andsqueezethepalms
    together.
    Ask her to raise her arm over her head.
    Thishastheeffectofstretchingand
    tighteningthepectoralismajormusclethat
    liesdirectlyundeneaththebreast.
    Functionally,thisplacesthebreastona
    fairlysolid,fairlyflatsurface,makingit
    easiertopalpateabnormalities.
    PALPATION
    Withthepatient'sarmraisedoverherhead,palpatefor
    lumps,massesorthickenings.
    Breasttissueisnormallysomewhatnodularor"lumpy,"
    particularlyintheupperouterquadrant.
    Lookforadominantmass.
    Somehavesuggestedthatyouarelookingfor"amarble
    inabagofrice."
    Palpatethebreastusingtheproximalandmiddle
    phalangesofthefingers.
    Thepalmofthehandistooinsensitivetodetectsubtle
    changesinbreasttexture.
    Thefingertipsaretoosensitiveandwillfocusonthe
    normalgranularityofthebreasttissueratherthanthe
    moreworrisomemasses
    Whenbreastsarelargerorpendulous,itmaybeusefulto
    usetwohands,compressingthebreasttissuebetween
    them.
    Check the axilla for masses or palpable lymph
    Itisrelativelycommontofindpalpablelymphnodesin
    theaxillaofnormalpatients.
    Palpableaxillarylymphnodesthatarepresentbecause
    ofanunderlyingmalignancywillnotgraduallyregress
    overtime
    Check the supraclavicular area for palpable masses.
    Thesupraclavicularareacanbeanareaofspreadof
    breastmalignancy.
    Palpablemassesorlymphnodesinthisareacanbea
    signofunderlyingmalignancy
    Stripping the ducts towardthenipplewillcauseanysecretionsto
    beexpressed.
    Thisshouldbedonefirmly,butnotsohardastocausediscomfort
    orpinching.
    Witheffort,youwillalmostalwaysbeabletobringadroportwoof
    breastsecretionstothesurface.Thisisnormalandthesecretions
    willbeclear,milky,orhaveaslightgreenishtinge.
    Bloodydischargeisalwaysconsideredadangersign.
    Largeamounts(manydrops)ofsecretionsarenotconsidered
    normalandusuallyrequirefurtherinvestigation.
    After completing the examination on one side, move to the
    other breast and repeat the examination.
    Gobacktothefirstbreasttocomparefindingsfromonesidetothe
    other.
    Athickeningthatissymmetricallypresentinbothbreastsisusually
    ofnosignificance.
    Athickeningthatispresentinonlyonebreastismoreworrisome.
    The breast examination can also be performed with the patient
    reclining.
    Thepatientmaybeflat,orsemi-recliningwiththeheadandtrunk
    partiallyraised.
    MaleBreastExamination
    Inspectwhileseated
    Palpateaxillaesameasforwomen
    Palpatebreasts,nipplesandareolawhilesupine
    CheckforGynecomastia
    http://www.ttuhsc.edu/elpaso/som/obgyn/obgyn101/my
    %20documents4/Text/Breast/breast_examination.htm

    http://nursingcrib.com/nursing-notes-reviewer/head-to-toe-assessment-
    q-breast/

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