Breast examination

1. Proper exposure and position

2. General inspection
3. General examination
a. Hands : anemia (pallor), pale, vital signs
b. Face: pallor, jaundice
c. Bone pain
d. Neck: supraclavicular and cervical lymph
e. Mouth: central cyanosis
4. Breast examination
a. Inspection
i. Compare (eye lvl same as breast)
Breast position and nipple alignment
Symmetry of size, shape, contour
Raise hands, raise upwards if abnormal
b. Check on one breast
i. Must see the lower part of breast for infection/excoriation
ii. Surface changes (dimpling,ulcers, engorgement, peau d
orange)
iii. Nipple (retraction, ulcer, eczema)
c. Palpate
i. Dun use fingertips cuz may feel ribs only
ii. Mass, pain, axilla (lymph nodes), discharge (press on areola)
iii. Hand (edema)
Description of mass
1. Number, site, size, shape, surface, skin changes, mobility (move on 2
axis on relaxation and contraction)
2. If relaxed, mass will move. If contracted, mass with move with muscle
movement.
3. Pinch in 4 quadrant to c any tethering to the skin.
Description of scar
1. Site, alignment, size (length and breadth), complication (healed/ hernia),
keloid (only if after 6 months), infection, seroma