NURS105 Chapter Notes - Chapter 0: Humerus, Gynecomastia, Axilla
19 Mar 2017
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These reflexes are normal and should not be mistaken for signs of breast disease: the male breast consists chiefly of a small nipple and areola but lacks the development of lobules. It may be difficult to distinguish male breast tissue from the surrounding muscles of the chest wall: of the axillary lymph nodes, the central nodes are palpable most frequently. Some difference in size is common and usually normal. Then, inspect the contour of each breast carefully to detect any masses, dimpling, or flattening. Inspect the nipples, noting their size and shape. Try to move the mass itself while the patient relaxes her arm and then while she presses her hand against her hip: palpate the nipple noting its elasticity. Note color, consistency, and quantity of any discharge and the exact location where it appears. Examining male breasts: inspect the nipple, areola and breast tissue for nodules, swelling, or ulcerations, if breast is enlarged, distinguish soft fat from gynecomastia.
