Reproductive Flashcards
What is gynecomastia?
Enlarged breast tissue in males
What could be causes of gynecomastia?
Obesity, endocrine issues, genetics, small babies who are currently being breast fed
What should we inspect for on a breast exam?
Skin changes, symmetry, contours, and retractions
What changes in breast should we consider during menses as normal findings?
Fibrocystic breast changes
What is the proper way to palpate during a breast exam?
Using finger pads of 2,3, and 4th fingers in small dime size circles with light to medium pressure.
Where is the tail of Spence?
Upper outer portion of breast
What 4 things should we inspect the nipple and areola for?
Nodules, swelling, ulcerations, and gynecomastia
When assessing the axilla what should we be palpating for?
Pectoral nodes, lateral nodes, and sub scapular nodes
Should women with hx of augmentation or reconstructive surgery still have mammograms?
Yes
Why should we avoid taking a BP on the same side where patient had a mastectomy?
Because they might have issues with lymph drainage which can cause the lymph to get trapped and not drained properly. This will worsen with increase pressure and be uncomfortable.
Breast cancer is the 1st leading cause of cancer death in women? T/F
False. 2nd leading cause
What risks are associated with breast cancer?
BRCA 1 and 2 gene Menarche before 12 Alcohol use First child after 30 Not breast feeding Family hx High fat diet Lack of exercise Obesity Age over 50 Hormones/DES exposure Ethnicity High breast tissue densities on mammogram
What are the mammogram recommended screenings?
50-74 every 2 years
What are the recommended screenings for clinical breast exams?
20-39 every 3 years; every year starting at 40
A woman’s lifetime risk of breast cancer is 1 in 10. T/F
False 1/8
Men do not have breast cancer risk. T/F
False; less than 1% chance
What 3 things should we always ask women in regards to their reproductive hx?
Menstruation, OB, and sexual hx
What is perimenopause?
Period of years during which a woman transitions to menopause