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Examination of the Breast and Axillae

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Across
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Milk let down
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Arm is position above head on same side as breast being examined
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Of nipple, MCC intraductal papilloma if benign
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Examination position which contracts pectoral muscles
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Milk production
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Nodules, distinct from other normal variations
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Early pregnancy, benign changes
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Men only;increased BMI and other causes
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Female sex and Advancing age main RF
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Lower incidence of breast CA but higher mobidity/mortality
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Eczema-like, underlying CA
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Lymphatic area most frequently palpable
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Typically puberty to young adulthood; nontender, mobile
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30-50yo, round, mobile, tender
Down
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Needed in all examinations
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Lymph blockage; inflammatory cancer
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Examination position which may reveal subtle dimpling or retraction
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Staph aureus, ok to breastfeed
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Milk produced shortly after birth of newborn
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Primary hypothyroidism; prolactinomas, acromegaly potential causes. Nonpregnant females and men
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Drains most of the arms lymphatic drainage
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MC site for breast cancer lesions; must palpate this area too
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MC in AA; along "milk" or mammary line