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    Physical Assessment: The Breast and Axillae

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    malyn1218
    This document discusses the anatomy and physical assessment of the breasts and axillae. It describes the breast anatomy including quadrants, lobes, areola, nipple, ducts and tissue. It outlines assessing the breasts and axillae through history, inspection of size/shape/skin/nipples, and palpation of lymph nodes, breasts and nipples. Assessment findings including location, size, shape, consistency and mobility of any masses are documented. Lifespan considerations are also discussed.

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    Physical Assessment: The Breast and Axillae

    Uploaded by

    malyn1218
    150 views13 pages
    This document discusses the anatomy and physical assessment of the breasts and axillae. It describes the breast anatomy including quadrants, lobes, areola, nipple, ducts and tissue. It outlines assessing the breasts and axillae through history, inspection of size/shape/skin/nipples, and palpation of lymph nodes, breasts and nipples. Assessment findings including location, size, shape, consistency and mobility of any masses are documented. Lifespan considerations are also discussed.

    Original Title

    Breast and Axillae[1]

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    © Attribution Non-Commercial (BY-NC)

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    This document discusses the anatomy and physical assessment of the breasts and axillae. It describes the breast anatomy including quadrants, lobes, areola, nipple, ducts and tissue. It outlines assessing the breasts and axillae through history, inspection of size/shape/skin/nipples, and palpation of lymph nodes, breasts and nipples. Assessment findings including location, size, shape, consistency and mobility of any masses are documented. Lifespan considerations are also discussed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    150 views13 pages

    Physical Assessment: The Breast and Axillae

    Uploaded by

    malyn1218
    This document discusses the anatomy and physical assessment of the breasts and axillae. It describes the breast anatomy including quadrants, lobes, areola, nipple, ducts and tissue. It outlines assessing the breasts and axillae through history, inspection of size/shape/skin/nipples, and palpation of lymph nodes, breasts and nipples. Assessment findings including location, size, shape, consistency and mobility of any masses are documented. Lifespan considerations are also discussed.

    Copyright:

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    Download as PPT, PDF, TXT or read online from Scribd
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    Physical Assessment

    The Breast and Axillae


    Anatomy of the Breast
     Four breast
    quadrants and the
    tail of Spence
    • Upper outer
    • Upper inner
    • Lower outer
    • Lower inner
    Anatomy of the Breast
     Glandular tissue
     Lobes
     Areola
     Nipple
     Lactiferous duct
     Adipose Tissue
    Anatomy of the Breast
     Location of the lymph
    nodes that drain the
    lateral breast
    • Supraclavicular
    • Lateral
    • Central
    • Intraclavicular
    • Anterior
    • Posterior
    Assessing the Breasts and Axilla
     Inquire if the client has a history of breast
    masses and what was done about them
    • Pain or tenderness in the breasts and relation
    to the woman’s menstrual cycle
    • Discharge from the nipple
    • Medication history
    • Risk factors that may be associated with
    development of breast cancer
    • If the client performs breast self examination
    and techniques used
    Assessing the Breasts and Axilla
     Inspect the breast size, symmetry and
    contour or shape while the client is in s sitting
    position
     Inspect the skin of the breast for localized
    discolorations or hyperpigmentation,
    retraction or dimpling, localized hypervascular
    areas, swelling or edema
    Assessing the Breasts and Axilla
     Emphasize any retraction
     Inspect the areola area for size, shape,
    symmetry, color, surface characteristics and
    any masses or lesions
     Inspect nipple size, shape, position, color,
    discharge, and lesions
    Assessing the Breasts and Axilla
     Palpate the
    axillary,
    subclavicular,
    subraclavicular
    lymph nodes
    Assessing the Breasts and Axilla
     Palpate the breast for masses,
    tenderness, and any discharge
    from the nipples
     Palpation of the breast is
    generally performed while the
    client is supine
    • 3 patterns for palpation: hands-
    of-the-clock or spokes-on-a-
    wheel, concentric circles, vertical
    strips pattern
    Assessing the Breasts and Axilla
     Palpate the areola and the nipples for
    masses
     Compress each nipple to determine the
    presence of any discharge
     Teach the client the technique of breast self
    examination (BSE)
    Assessing the Breasts and Axilla
     If you detect a mass, record the following
    data:
    • Location
    • Size
    • Shape
    • Consistency
    • Mobility
    • Skin over the lump
    • Nipple
    • Tenderness
    Lifespan Considerations
     Infants
    • Newborns may have breast enlargement and white
    discharge from the nipples
    • Supernumerary nipples

     Children
    • Female breast development begins between 9 and 13
    years
    • Boys may develop breast buds and may have slight
    enlargement of the areola in early adolescence
    • Gynecomastia
    • Axillary hair appers
    Lifespan Considerations
     Pregnant females
    • Breast, areola, and nipple size increase
    • Areola and nipples darken
    • Superficial veins become more prominent
    • Jagged linear stretch marks may develop
    • Colostrum may be expressed from the nipple
    after the first trimester
     Breast change in shape, appear pendulous or
    flaccid

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