NSE 13A/B Lecture Notes - Lecture 11: Supernumerary Nipple, Axillary Lymph Nodes, Axilla
12 Sep 2016
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Document Summary
Nse13 week 11 breast and regional lymphatics. 75% drains into the ipsilateral (same side) axillary nodes. Central axillary nodes, drainage flows up to the infraclavicular and supraclavicular nodes. Small amount flows directly up to infraclavicular group, chest or abdomen or directly to opposite breast. Self care behaviours (breast self examination, last mammogram) Common slight asymmetry in size (often left breast slightly larger) Note any localization areas of redness, bulging, or dimpling, skin lesions or focal. Fine blue vascular network visible in pregnancy. Linear striae is common following pregnancy or sudden growth. Symmetrically placed on the same plane on the two breast. Usually protrude some are flat or inverted. Note dry scaling, fissures, ulceration and bleeding or discharge. All flow upwards into infraclavicular and supraclavicular nodes and a small amount into chest, abdomen or directly to opposite breast. Use thumb and forefinger, gently depress the nipple tissue into the well behind the areola.
