Breast Pelvic Exam Flashcards
1
Q
Breast tissue components
A
- Adipose
- Glandular
- Ductal
2
Q
Palpation patterns
A
- Vertical strip/ lawnmower/ ladder
- Concentric circles
- Radial spoke
3
Q
Duration of palpation for someone w/ a bra size B
A
- 3 mins each breast
- 6 mins total
4
Q
Mastectomy breast exam
A
- Examine scar & axilla
- Lymphedema
5
Q
4 parts of pelvic exam
A
- Vulva & introitus (external)
- Speculum
- Bimanual
- Rectal/Rectovaginal
6
Q
Squamo-columnar junction
A
- Junction of pink cervical skin & red endocervical canal
- Inherently unstable
- Key portion of the cervix to sample
- Most likely site of dysplasia
7
Q
Palpate cervix
A
- Palpate the circumference of the cervix
- Gently rock the cervix from side to side
- Palpate cervix for firmness
8
Q
Palpate uterine fundus
A
- Place internal fingers on posterior side of cervix & outer hand on lower abdomen
- Gently palpate each side of the uterus
9
Q
Uterine fundus: Expected findings
A
Pear shaped, rounded, firm, & smooth
10
Q
Palpate ovaries
A
- Move internal & external fingers lateral to uterus & use 3 sweeps moving from distal point toward pubic hair line, attempting to palpate the ovaries
11
Q
Ovaries: Expected findings
A
- Smooth & ovoid
- Mildly tender to palpation
- Similar to an almond
- May not be palpable
12
Q
Rectovaginal exam technique
A
- Index finger inserted into vagina while middle finger inserted into rectum
- Straining can help relax anal sphincter
- Apply pressure w/ fingers to anterior & lateral walls while hand on abdomen applies downward pressure
13
Q
Rectovaginal exam purpose
A
- Palpate a retroverted or retroflexed uterus
- Palpate uterosacral ligaments
- Palpate the cul-de-sac & adnexa
- Screen for colorectal cancer
- Assess pelvic pathology
14
Q
What are the borders of the breast?
A
- Upper = clavicle
- Lower = 6th rib
- Medial = sternum
- Lateral = mid-axillary
15
Q
4 components of breast exam
A
- Intro
- Breast inspection
- Lymph node palpation
- Breast palpation
