Physical Exam Flashcards
Breast Exam inspection components
- Tanner class
- Symmetry
- Contour
- Skin Changes
- Nipples
Nipple inspection
- size
- shape
- direction
- Inversion
- Rash/Ulceration
- Discharge
Breast exam palpation
- LN palpation
- Bimanual
- Patient supine
- expression of nipple discharge
Half of breast cancers are in the ____ area of the breast
Upper lateral
Pelvic Exam
- Setup: head elevated and drape flat for eye contact; relax abs; observe pt
- Empty bladder
- ## arms at side or across chest
Most cost-effective and reliable method for breast cancer detection?
Breast exam
Leopold’s maneuver?
A tecnique to determine orientation of fetus in womb
During inspection of external female genitalia, what gland can be involved in pathological conditions + what is the this condition called?
Bartholin’s gland/cyst
What clinica/ finding is pathognomonic for herpes?
Cervical ulcerations
What is the purpose of the bimanual pelvic exam?
- Determine uterus size + shape
- Check for tumors, shape abnormalities, + mobility
- Determine size of ovaries
What is the purpose of the rectovaginal exam?
- Evaluate fixation of retroverted/flexed uterus
- Detect pouch of douglas, masses, or endometrial implants
In what situation is it normal to be unable to palpate ovaries in a female pt?
- pt is a teenage/adolescent
Cacncer signs
- unilateral retracted nipple
- bleeding from nipples
- orange-peel appearance on breast
- galactorhhea in nonpregnant pts (prolactinoma)
