Physical Assessment

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Author:
Anonymous
ID:
39423
Filename:
Physical Assessment
Updated:
2010-10-03 20:18:15
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Physical Assessment
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Description:
Breast/lymphatic exam
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  1. Breast Exam 20-30 years old
    1-3 years
  2. Ethnicity of women with breast cancer
    White
  3. Lobular carcinoma in Situ
    Non invasive carcinoma
  4. Precursor of invasive breast cancer
    Ductal carcinoma in situ
  5. Arises from breast ducts or lobules
    Invasive
  6. Most prevalent cancer 40 - 60 years old
    Invasive
  7. Most common form of breast cancer
    Invasive
  8. Unilateral venous pattern
    Malignancy results in increased circulation.
  9. Orange peal appearance
    Edema/blocked lymphatic vessels
  10. 40 years old breast exams
    yearly
  11. Pseudogynomastia
    Caused by overweight
  12. gynecomastia
    unknown cause
  13. ETOH >2 drinks/day
    increases incidence of breast cancer
  14. Meds causing galactorrhea
    Haldol/Depo-Provara
  15. Galactorrhea
    Milk secreation in non-lactating female
  16. True or False
    Most women with breast cancer have no family history
    True
  17. BRCA1
    BRCA2
    Bad gene mutations. 80% chance of breast cancer
  18. % of familial breast cancer
    5-10%
  19. No birth, or greater than 30 years old before first child
    Increases risk of breast cancer
  20. Menses at 12 years or less. Menopause greater than 52
    Increased risk for cancer
  21. 3 Cancerous causes of nipple discharge
    • Breast cancer
    • Ductal carcinoma
    • Pagets disease
  22. Sign of paget's disease
    Scales
  23. Decreased size and firmness of breast
    • loss of estrogen
    • menopause
  24. Dimpling of breast or nipple
    Sign of breast cancer
  25. Reddness and warmth
    Inflammation and infection
  26. Any lumps need...
    Immediate referral
  27. Bloody nipple discharge
    Intraductal papilloma
  28. Usually seen in a woman 40 - 60 years old
    Intraductal papilloma
  29. Small benign, wart like tumor growth in major ducts
    Intraductal papilloma
  30. Does not change in size associated with menstration
    Fibroadenoma
  31. Nontender lump
    Fibroadenomas
  32. Made of gladular and fibrous tissue
    fibroadenomas
  33. Seen most often in young women
    Fibroadenomas
  34. Cysts do what during menstration?
    Fluctuate in size
  35. Fibrostatic lumps
    Associated with multiple masses
  36. Caused by ductal enlargement and fluid-filled cysts
    Fibrocystic breast changes
  37. Quadrant of most breast cancer
    RUQ, LUQ
  38. Site of majority of breast cancers
    Tail of Spence
  39. Lateral (brachial lymph) drain to what?
    Central (midaxillary)
  40. Central (midaxillary) drains to...
    Infraclavicular
  41. Infraclavicular lymph drains to...
    Supraclavicular lymph
  42. Posterior (subscapular) lymph drain to...
    Anterior (pectoral) lymph

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