physical assessment-breast
Terms
undefined, object
copy deck
- what is second leading cause of death in women?
- breast cancer
- what is goal of assessment of the breast?
- note any changes in 'normal'
-
what is the mammary gland?
what is function? - composed of 15-20 lobes; each lobe has 50-75 lobules; lobules contain acini cells produce milk
- anatomical location of breast
- b/w ribs 2 and 6; sternal edge and midaxillary line
- 2/3 of breast lay over_____and 1/3 is over____
- pectoralis major; serratus anterior
- what part of the breast extends in axilla?
- tail of spence
- t or f: it is abnormal for breasts to be unequal in size.
- False
- name the primary structures of the breast
- lobe, lobules, milk duct, milk sinuses, acini cells, areola, nipple, ligaments, bld vessels, lymphatic tissue and suporting muscle.
- what kind of tissue is breast made up of?
- glandular connective and adipose and smooth muscle and nerve fibers
- what system are the breasts part of?
- reproductive
- what do lactiferous ducts and glands do?
- carry from glands to sinuses which store
- areola
- contains montgomery glands (sebacious glands) that lubricate druing breast feeding
- coopers ligaments
- support: fused w/ outer laysers of superfical facia- suspensory lig. attached to chest wall
- what supplies bld to breast?
- internal mammary artery
- name 8 lymphnodes and sites of the breast
-
anterior(pectoral)drains most of breast
central(midaxillary), lateral, internal mammary, parasternal, subscapular, supra and infra clavicular - what ethnic group has largest incidence?
-
ashkenazi jews- familial breast cancer gene
white higher incidence, afric. amer higher death rate - what are risk factors for cancer?
- 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
- 4 steps in teache BSE
-
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 - when should bse be done
- monthly; 7 days after first day of menstruation.
- who finds the lumps and what %are benign
- usually woman herself and 80%
- fibroadenoma of breast
-
well defined mass no pain
round firm movable 1-5cm
usually solitary
early teens or 20s - fibrocystic disease
-
thick nodular areas bilateral
mild pain tendernes
mobile upper outer quad
caffein, cystic fluid 18-40 - interductal papilloma
-
discharge unilaterally
moderate pain
no mass palpable
35-55 - mammary duct ectasia(dilation)
-
discharge and retraction, pain and itching
subareolar ducts rubbery,
large nodes, early menopausal - mastitis
- pain tenderness- firm red warm; cracked nipples, abscess, large painful nodes, 3-4 weeks postpartum
- what is the ratio of women who will develop breast cancer
- 1:8
- what major cause of gynecomastia in men
- hyperthyroidism
- t or f: breastfeeding decreases risk for bc
- true
- what is pagets disease?
- malignancy of areola and nipple
- drugs that affect breast adversly
- androgen, antidepres.,antipsych, cardiac glycosides,estrogen, oral contraceptive, progest, cimetidine, reserpine
- what is mastalgia
- breast pain or tenderness