NSG 2317 Lecture Notes - Lecture 9: Suspensory Ligament, Pituitary Adenoma, Adipose Tissue
Document Summary
Upper inner; upper outer; lower inner; lower outer. Gynecomastia male testosterone deficiency can be a risk factor. Pain or tenderness when did they notice it. Trauma nipple inversion can be an indicator of breast cancer. Rash (could be a change in deodorant, etc. ) Objective data physical exam (day 4-7 is best days to do an examination) Looking for if breasts are moving together, change from either side, pushing forward on the hand, have them lean over) Spokes on a wheel starting a the areola and going outward. Vertical strike start at outer and go up and down. Concentric circle pattern starting at nipple and going around. Mobility (movable or fixed to chest wall) Nipple retraction (is nipple displaced or retracted) Overlying skin (orange peel effect, swelling, dimpled, retracted, warm, tender) Schedule for self-exam (pick a date that is familiar to you) How often are they voiding, consistency, at night. Lithotomy position and draping (having ankles in stirrups)