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  • Lesson13 Breast Axilla and Female Genitalia

    Încărcat de

    Dennis Nabor Muñoz, RN,RM
    35 vizualizări4 pagini
    This document provides an overview of breast, axilla, and female genitalia assessment. It discusses taking a history and performing a physical exam for common breast complaints like nipple discharge, pain, and masses. It also outlines taking a gynecological history and assessing common conditions like abnormal menstruation, pelvic pain, and vaginal discharge. Common etiologies are discussed for issues like amenorrhea, abnormal bleeding, pelvic pain, and vaginitis. Patient education on breast self-exams, clinical exams, and mammography is also mentioned.

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    This document provides an overview of breast, axilla, and female genitalia assessment. It discusses taking a history and performing a physical exam for common breast complaints like nipple discharge, pain, and masses. It also outlines taking a gynecological history and assessing common conditions like abnormal menstruation, pelvic pain, and vaginal discharge. Common etiologies are discussed for issues like amenorrhea, abnormal bleeding, pelvic pain, and vaginitis. Patient education on breast self-exams, clinical exams, and mammography is also mentioned.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    35 vizualizări4 pagini

    Lesson13 Breast Axilla and Female Genitalia

    Încărcat de

    Dennis Nabor Muñoz, RN,RM
    This document provides an overview of breast, axilla, and female genitalia assessment. It discusses taking a history and performing a physical exam for common breast complaints like nipple discharge, pain, and masses. It also outlines taking a gynecological history and assessing common conditions like abnormal menstruation, pelvic pain, and vaginal discharge. Common etiologies are discussed for issues like amenorrhea, abnormal bleeding, pelvic pain, and vaginitis. Patient education on breast self-exams, clinical exams, and mammography is also mentioned.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 4

    BREAST, AXILLAE AND FEMALE GENITALIA ASSESSMENT

    Eileen Hawkins, ARNP, FNP

    LESSON # 13

    BREAST AND AXILLA ASSESSMENT

    Anatomy & Physiology


    Breast location
    Internal landmarks

    Evaluation of Breast Complaints


    Nipple Discharge
    Breast Pain
    Breast Mass

    History
    Duration
    Laterality
    Medications
    Trauma
    Age

    Nipple Discharge History


    Duration
    Laterality
    Presence of blood
    Use of medications
    Lactation experience
    Nipple & breast stimulation

    Breast Pain: History


    Location
    Associated trauma
    Previous breast surgery
    Associated lumps or nipple discharge
    Options: F/U, imaging, biopsy

    Breast Mass: History


    Age
    Menopausal status
    Duration
    Changes
    Previous masses & biopsies

    1
    History for All Breast Complaints
    Last Exam & findings
    Last mammogram & findings
    SBE practices
    Breast CA risk
    Breast Exam
    Documentation

    Nipple Discharge
    Objective findings
    Evaluation

    Breast Pain
    Mastodynia
    History
    Exam: Inspection & palpation

    Breast Mass: Exam


    Inspection & palpation
    Describe lump
    Options: F/U, imaging, aspiration, biopsy

    Special Considerations
    Asymptomatic Women
    Premenopausal Women
    Lactating Women

    Variations
    Mastectomy, augmentation, lumpectomy
    Infants
    Adolescent
    Pregnancy & Lactation

    Patient Education
    Self Breast Exam (Monthly)
    Clinical breast exam (Yearly)
    Mammography

    2
    FEMALE GENITALIA

    Purpose of GYN Interview


    Detection, diagnosis, and TX of GYN problems
    Screening for other existing or potential health problems
    General health promotion

    BE SENSITIVE TO CONCERNS

    History
    Reason for visit
    Menstrual History
    GYN history
    Obstetric history

    COMMON CONDITIONS
    Variations/abnormalities in menstruation
    Anenorrhea
    Menstrual irregularities
    Pelvic pain
    Vaginal discharge/irritation

    Amenrrhea
    Primary - Menarche not occurred

    Secondary - no menses for 3-6 months


    Pregnancy
    Psychogenic (stress)
    Weight reduction or bulimia
    Exercise induced
    Post-pill
    Pituitary disease
    Premature ovarian failure
    Uterine causes

    Abnormal Menstrual Bleeding


    Fibroids
    PID
    Endometriosis
    Polyp in uterine cavity
    IUD
    DUB
    Menopause, perimenopause

    3
    Pelvic Pain
    Acute
    Chronic
    UTI

    VAGINAL DISCHARGE & IRRITATION

    Vaginitis
    Forgotten tampon in vagina
    Feminine hygiene sprays
    Spermicidal preparations
    Suppositories
    Pinworms
    Clothing
    Soaps
    Items usd in sexual activitiy

    Vaginitis & STDS


    Physiologic

    Trichomonal

    Gonococcal

    Bacterial Vaginosis

    Chlamydia

    Candida

    Herpes

    HPV
    Atrophic

    Pelvic Relaxation Syndrome


    Urethrocele
    Cystocele
    Rectocele
    Uterine prolapse

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