PHYSICAL EXAMINATION OF THE BREASTS AND AXILLA Flashcards

1
Q

What are the 5 D’s in regards to the nipples?

A
Discharge, 
Depression or inversion,
Discoloration
Dermatologic changes, 
Deviation:
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Reinspect the breasts in what various positions?

A

(a) Seated, arms extended over head
(b) Seated, hands pressed against hips and shoulder
(c) Seated, and leaning forward from the waist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Simultaneous bilateral inspection is necessary to detect what?

A

nipple retraction or

deviation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

_________ changes are benign cyst formation caused by ductal enlargement is associated with a long follicular or luteal phase of the menstrual cycle. The lesion are filled with fluid and usually bilateral and multiple.

A

Fibrocystic changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

are benign tumors composed of stromal and epithelial elements that
represent a hyperplastic or proliferative process. Account for the majority of breast tumors in young women

A

Fibroadenoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

_________ is a response to local injury. A firm, irregular mass, often appearing as an area of discoloration.

A

Fat necrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

______________ and ________ are benign 2 to 3 cm tumors of the subareolar ducts that occur singly or in multiples. A common cause of serous or bloody nipple discharge.

A

Intraductal papillomas and papillomatosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

______________ is a surface manifestation of underlying ductal carcinoma. A red, scaling, crusty patch forms on the nipple, areola, and surrounding skin. Lesions appear eczematous and usually unilateral.

A

Paget disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

_____________ is a smooth, firm, mobile, tender disk of breast tissue located behind the areola in males. Caused by hormone imbalance; by testicular, pituitary or hormone secreting tumors; liver failure or antihypertensive meds.

A

Gynecomastia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

__________ inflammation of the sebaceous glands in the areola.

A

Retention cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

______________ is lactation not associated with childbearing and most commonly caused by pituitary tumors, Cushing’s syndrome and hypoglycemia, drugs such as phenothiazines, tricyclics, antidepressants and estrogen.

A

Galactorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

______________ is inflammation and infection of the breast tissue characterized by sudden onset of swelling, tenderness, erythema, and heat; usually the result of a staph infection and most common in lactating women.

A

Mastitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

______________ most commonly occur in menopausal women. The subareolar ducts become blocked with desquamating secretory epithelium, necrotic debris, and chronic inflammatory cells.

A

Mammary duct ectasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly