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Examination of the Breast and Axillae

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