Introduction to Clinical Skills

Breast and Axillae

Universidad Iberoamericana UNIBE

Introduction to Clinical Skills

Teaching Staff Dra Elizabeth Peralta Dr Marcos Núñez Dra Cristina Páez C Dr Juan Carlos Mariñez Dra Wayna Greo Dra Yun Pey Lee

Introduction to Clinical Skills

The Breast and Axillae Embriology Anatomy and physiology

Female vs Male breast

The Health History Health Promotion and Counseling Breast Cancer Risk classification Technique of Examination Breast self examination Recording your findings

Introduction to Clinical Skills

The Breast and Axillae Embriology

Introduction to Clinical Skills

The Breast and Axillae Anatomy and physiology

Female vs Male breast

Introduction to Clinical Skills

The Breast and Axillae The Health History

Breast lump or mass Breast pain or discomfort Nipple discharge

Introduction to Clinical Skills

The Breast and Axillae Health Promotion and Counseling

Palpable masses of the breast Assesing risk of breast cancer Breast cancer screening

Introduction to Clinical Skills

The Breast and Axillae Breast Cancer Risk factors

Female, 65 yo, jewish heritage, high socioeconomic status, tall BRCA1 or BRCA2 Two or more first degree relatives with breast cancer Personal history of breast cancer High breast tissue density Biopsy confirmed atypical hyperplasia High dose radiation to chest ↑ Estrogens

Introduction to Clinical Skills

The Breast and Axillae Breast Cancer Risk factors

Introduction to Clinical Skills

The Breast and Axillae Technique of Examination: Female

Breast Inspection Breast Palpation Nipple Palpation

Introduction to Clinical Skills

The Breast and Axillae Technique of Examination: Female

Breast Inspection

Introduction to Clinical Skills

The Breast and Axillae Technique of Examination: Female

Breast Palpation

Introduction to Clinical Skills

The Breast and Axillae Technique of Examination: Female

Breast Palpation

Introduction to Clinical Skills

The Breast and Axillae Technique of Examination: Female

Nipple Palpation

Introduction to Clinical Skills

The Breast and Axillae Technique of Examination: Male

Inspect nipple and areola Palpate the areola and breast tissue for nodules Distinguish obesity from gynecomastia

Introduction to Clinical Skills

The Breast and Axillae Breast self examination

Introduction to Clinical Skills

The Breast and Axillae Unibe Anatomical Model

Introduction to Clinical Skills

The Breast and Axillae Unibe Anatomical Model

Introduction to Clinical Skills

The Breast and Axillae Anatomical Models SP Patients

Introduction to Clinical Skills

The Breast and Axillae Anatomy

Introduction to Clinical Skills

The Breast and Axillae Inspection

Introduction to Clinical Skills

The Breast and Axillae Palpation

Introduction to Clinical Skills

The Breast and Axillae Recording your findings

“ Breast symmetric without masses. Nipples without discharge”. Axillary adenopathy usually included after Neck in section on Lymph nodes

Introduction to Clinical Skills