NSE 13A/B Lecture Notes - Lecture 11: Supernumerary Nipple, Pectoralis Major Muscle, Hormonal Contraception
20 May 2019
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Nse 13 fall week 11 notes: breast and regional lymphatics: breast can be separated into 5 quadrants, upper outer quadrant, lower outer quadrant, upper inner quadrant, lower inner quadrant, axillary of the tail of spence. Lymphatic system: central axillary nodes: high up in middle axilla, pectoral: along the edge of the pectoralis major muscle. Subscapular: along the lateral edge of scapula: lateral: along the humerus, inside upper arm. Risk factors for breast cancer: female ages 50-59, personal and family history, brca gene, early puberty of late menopause, radiation, tall height, nulliparity or first child after 30, hormonal contraceptive use, hormone replacement therapy, alcohol, obesity. Subjective data: breast, pain, pqrstu, lump, lump or thickening, discharge, rash, swelling, trauma, history of breast disease, surgery, self-care behaviour, axilla, tenderness, lump, swelling, tenderness in underarm area, rash. Breast cancer assessment: mammography, 50-69 routine screening every 2-3 years. Inspect the breasts: general appearance, slight asymmetry is normal.
