Breast massage Flashcards
Name some CIs for breast massage.
Client unable to establish boundaries or clarify wishes, breast abscess, undiagnosed lump, mastitis or active infection, pressure on ruptured implant, attempts to reduce implant related contracture
Gall stones and esophageal lesions can cause breast pain.
T/F?
True.
What is the name of the structural tissue in the breast and what is the name of the supporting framework that holds it up?
Tissue in the breast is called stroma and is held up by coopers ligaments (suspensory ligaments).
What are the anatomical boundaries of the breast?
Upper- lower edge of clavicle
Lower- 1” below breast contour over rectus abdominus
Medial- sternal midline
Lateral- ant edge of lats and axilla
What is the name of functional tissue in the breast?
Parenchyma
Explain how the glandular system of the breasts works.
Lobes (produce milk) seperated by connective tissue capsules. Lobes have lobules which open into ductules. The system terminates at milk/lactiferous sinus behind nipple.
Where is the nipple located? What glands are found there?
Found in areola. Contains sebaceous glands/ Montgomery glands.
Where does the breast get arterial supply? Where does it drain into?
Subclavian artery. Drains into internal mammary vein.
What is significant about the lymphatic channels in the breasts?
They are valveless; so breast drainage is harder bc of gravity and in large pendulous breasts. They also drain from superficial to deep so techniques have to be directed towards areola.
Where does most of the breast lymph drain into?
Most in Axillary nodes and some in internal mammary chain.
Where does the breast get it’s nerve supply from?
Superior aspect- C3/4
Med/lat aspects- intercostal nn 2-5
Nipple- T4
Upp, outer quadrant- C8-T1
What are the different colours of discharge that are ominous signs?
Tea coloured-benign cyst
Clear- normal right after childbirth before milk comes out
Green, bloody
What is the difference between cicatrical scarring and keloid scars?
Cicatrical- extreme puckering due to contraction of connective tissue
Keloid- excessive scar tissue formation containing blood vessels
Define fibroadenoma, fibrocystic breasts, and cysts.
Fibroadenoma- firm, rubbery sharply defined mass, asymptomatic.
Fibrocystic breasts- modular granular breast masses, related to menstruation cycle.
Cysts- bilat and multiple, common in women on hormone replacements, asymptomatic but maybe tender.
Name 4 different ominous signs for breasts:
1) nipple retraction (quick)- cancer
2) nipple discharge with abnormal colouring
3) hard non tender lumps- cancer
4) post menopausal cyst activity (not on hormone replacement)
