NSG 2317 Lecture Notes - Lecture 9: Lymphadenopathy, Peripheral Vascular System, Vagus Nerve
9 Nov 2016
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A- fixation, suspensory ligaments are really retracting and pulling breast tissue up. B- paget"s : the s(cid:272)ali(cid:374)g is e(cid:454)(cid:272)lusi(cid:448)el(cid:455) o(cid:374) the (cid:374)ipple, (cid:374)ot o(cid:374) areola, has peau d"ora(cid:374)ge. C- mastitis : infection , prob staph aureus, would be really hot and firm, might be inflammatory breast cancer. D- dimple, something is pushing on the suspensory ligaments, you would see it as they move their arms around. Just make sure you are systematic, cover everything, not missing the axillary tail! Best time to do this is dependent on the menstrual cycle, around ovulation or just after (14 days into the cycle) Look at both, start with the normal one if there is an issue. There are lymph nodes in the breast tissue, should be smooth, mobile, painless. About the lump: location, size, shape, consistency (soft, hard), movability, distinctness, sensation, temperature, tumours are fixed lesions, ca(cid:374)(cid:272)ers ofte(cid:374) gro(cid:449) slo(cid:449)l(cid:455) a(cid:374)d do(cid:374)"t (cid:272)ause pai(cid:374) Other: skin over the lump, nipple, lymphadenopathy.
