How to Do Physical Examination of the Breasts

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How to Do Physical Examination of the Breasts Reynaldo O. Joson, MD, MHA, MHPEd, MScSurg August 6, 2016

Transcript of How to Do Physical Examination of the Breasts

Page 1: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

Reynaldo O. Joson, MD, MHA, MHPEd, MScSurgAugust 6, 2016

Page 2: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

InspectionPalpation

Page 3: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

Inspection Inspect both breasts for anything unusual –

size, contour, skin changes, etc.

Page 4: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

Palpation

Page 5: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breasts with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breasts. Look for a dominant mass. Then, press the nipples for any discharge. Then palpate the armpits for any lymph node with the arm lowered from the head part to lax the axilla folds.

Page 6: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

RIGHT BREAST

Page 7: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 8: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 9: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 10: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 11: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 12: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 13: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 14: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 15: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 16: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 17: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 18: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

Then, press the nipple for any discharge.

Page 19: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

Then, palpate the armpit for any lymph node with the arm lowered from the head part to lax the axilla fold.

Page 20: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

LEFT BREAST

Page 21: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 22: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 23: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 24: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 25: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 26: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breast with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breast.

Page 27: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

Then, press the nipple for any discharge.

Page 28: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

Then, palpate the armpit for any lymph node with the arm lowered from the head part to lax the axilla fold.

Page 29: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

With the patient lying down, with arm raised over the head part, palpate the breasts with two hands, one breast at a time, using the flats of fingers, wedge pattern, with at least 3 sweeps per wedge, with light to deep pressures and making sure to cover all areas and quadrants of the breasts. Look for a dominant mass. Then, press the nipples for any discharge. Then palpate the armpits for any lymph node with the arm lowered from the head part to lax the axilla folds.

Page 30: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

If a dominant breast mass is palpated, proceed to determine the following:location; size; consistency; nature (solid or cystic); border; mobility; tenderness; erythema; etc. Use the characteristics of the mass and other relevant findings such as axillary lymph node to decide on the clinical diagnosis.

Page 31: How to Do Physical Examination of the Breasts

How to Do Physical Examination of the Breasts

Reynaldo O. Joson, MD, MHA, MHPEd, MScSurgAugust 6, 2016


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