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Manual Skills & Techniques 4 > Anterior Chest/Breast Massage > Flashcards

Anterior Chest/Breast Massage Flashcards

0
Q

Symptoms of mastitis include:

  • swelling, redness, pain on breasts
  • fever, enlargement, discharge, itching, tenderness
  • lump

True/False?

A

True.

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1
Q

What are some causes of breast pain?

A
  • brachial plexus entrapment
  • triggerpoints
  • gall stones
  • esophageal lesions
  • Angina pectoralis
  • pulmonary tuberculosis
  • pregnancy/hormonal related congestion
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2
Q

Restrictive clothing and fibrocytic breast disease can cause breast pain.

True / False?

A

True.

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3
Q

List some indications for breast massage:

A
  • congestion related to breast conditions
  • drainage problems (large breast etc)
  • Px seeks assistance getting comfy with breasts
  • breast trauma (crush injuries -seat belt)
  • adhered scar formation

Etc etc

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4
Q

What are some contraindications to breast massage?

A
  • unable to establish open communication with Px
  • mastitis
  • infection
  • Px does not give / withdraw consent
  • ruptured implant (no direct pressure)

Etc etc

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5
Q

What are coopers ligaments (lig of cooper)?

A

Fascial membranes that anchor the stroma (structural tissue) and provide framework for breast.

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6
Q

Which structures provide the upper anatomical boundaries of the breast?

A

-lower edge of clavicle

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7
Q

Which structures provide the Medial anatomical boundaries of the breast?

A

-sternal midline

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8
Q

Which structures provide the Lateral anatomical boundaries of the breast?

A

-anterior edge of lats with some tissue extending into axilla.

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9
Q

How many anatomical boundaries from the breast?

A

4

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10
Q

Parenchyma is structural breast tissue.

True / False?

A

False.

Glandular Functional tissue (15-20lobes) separated by thick connective tissue capsules.

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11
Q

The lobes of the parenchyma open up into ______.

A

Ductules.

Ductules propel their contents into a central duct channel of their lobe

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12
Q

Where does the entire duct system of the parenchyma terminate?

A

-reservoir called MILK SINUS or LACTIFEROUS sinus.

Located behind nipple

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13
Q

Sebaceous glands in the areola are known as:

A

Montgomery Glands.

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14
Q

Which artery supplies the breast?

A

Subclavian artery.

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15
Q

What is the significance of VALVE-LESS breast lymphatics?

A
  • compromised drainage against gravity

- scar tissue n compression can easily cause congestion

16
Q

Breast lymphatics drain deep to superficial.

True / False?

A

False.

Superficial to deep.

(Affects direction of drainage -towards areola into SUBAREOLA plexi)

17
Q

What percentage of breast lymph drains into the axillary nodes?

A

75%.

Other 25 goes down sternum, down rect abs into inguinal…

18
Q

All lymph nodes drain into one specific breast quadrant.

True / False?

A

Certain nodes do not drain specific quadrants of breast.

This allows for drainage to still be efficient in cases where breast tissue may be removed or obstructed.

19
Q

The superior aspect of the breast is innervated by which nerve level/s?

A

C3-4

20
Q

The medial and lateral aspects of the breasts are innervated by cervical nerves.

True / False?

A

False.

Intercostal nerves 2-5

21
Q

Why can shoulder compression syndromes or nerve damage affect breast tissue?

A

Due to innervation by intercostobrachial nerve from C8-T1

22
Q

Define cicatrical scarring:

A

Extreme puckering due to contraction of connective tissue.

23
Q

Excessive scar tissue formation containing blood vessels is known as:

A

Keloid.

24
Q

Firm, rubbery sharply defined round mass, typically singular n asymptomatic is known as:

A

Fibroadenoma.

25
Q

What is the presentation of fibrocytic breasts?

A
  • nodular
  • prominent granular breast masses
  • painful (before & after menstruation)
26
Q

Cysts are typically singular and unilateral.

True \ False?

A

False.

Bilateral n multiple.

(Primarily on superolateral aspect of breast)

27
Q

List some breast ominous signs:

A
  • nipple retraction
  • nipple discharge
  • hard, non tender lumps
  • post menopausal cyst activity
28
Q

How often would you see a patient with hormonal conditions for breast massage?

A

May be monthly.

Manual Skills & Techniques 4 (16 decks)

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