How do I examine my breast OSCE?
Procedure Steps
- Wash your hands.
- For this examination the patient should be exposed from the waist up and initially sat on the edge of the bed.
- Begin by asking the patient to rest her hands on her thighs, with her arms relaxed.
- Ask the patient to place her hands above her head and repeat the inspection.
What are the anatomical boundaries for female breast examination?
Clinical Anatomy The physical boundaries of the breast are the clavicle superiorly, the sternum medially, the insertion of the rectus abdominis muscles inferiorly, and the serratus anterior muscles laterally. The posterior breast tissue lies on the pectoralis major fascia.
What are the steps in breast self examination?
Breast self-exam
- Use the pads of your fingers. Use the pads, not the very tips, of your three middle fingers for the exam.
- Use different pressure levels. Your goal is to feel different depths of the breast by using different levels of pressure to feel all the breast tissue.
- Take your time. Don’t rush.
- Follow a pattern.
What are the different types of breast exams?
Different Types of Breast Exams and Screenings
- Digital Breast Tomosynthesis (3-D Mammography)
- Digital Mammography.
- Breast Ultrasound.
- Breast MRI.
- Breast Needle Biopsy.
- Cyst or Fine Needle Aspiration.
- Second Opinion/Consultation Services.
- Where to Get Your Next Breast Exam in Rhode Island.
What are the 4 quadrants of the breast?
The breasts are divided into 4 quadrants with the nipple as the center. UO: upper outer; UI: upper inner; LO: lower outer; LI: lower inner.
Where is the tail of Spence located?
A tail of breast tissue called the “axillary tail of Spence” extend into the underarm area. This is important because a breast cancer can develop in this axillary tail, even though it might not seem to be located within the actual breast.
What is the tail of Spence?
The tail of Spence (Spence’s tail, axillary process, axillary tail) has historically been described as an extension of the tissue of the upper lateral quadrant of the breast traveling into the axilla.
When is the best time for examination of the breast?
The best time to do a monthly self-breast exam is about 3 to 5 days after your period starts. Do it at the same time every month. Your breasts are not as tender or lumpy at this time in your monthly cycle. If you have gone through menopause, do your exam on the same day every month.
What is the purpose of breast self-examination?
Doing breast self-examinations allow you to become familiar with the way your breasts normally look and feel. This can help you notice any changes and get medical advice as early as possible.
What are the imaging method of breast?
The most commonly used breast imaging tests at this time are mammograms, ultrasound, and breast MRI. Other tests, such as CT scans, bone scans, or PET scans might sometimes be done to help find out if breast cancer has spread. Newer types of tests are now being developed for breast imaging.
Where is 9 o’clock right breast?
Facing your right breast, the upper outer quadrant is in the 9:00 o’clock to 12:00 o’clock position. The reason more breast cancer lumps occur in the upper outer part of the breast isn’t clear, but this area has a lot of glandular tissue.
How to do a breast exam for OSCE?
Breast Examination – OSCE Guide 1 Breast. Examine the “normal” asymptomatic breast first. Ensure to warm your hands before touching the patient. 2 Axillary tail. Palpate the axillary tail of breast tissue. 3 Nipple. If the patient reports having nipple discharge, ask them to squeeze the nipple to demonstrate this.
What is included in a breast examination?
The breast examination is done at the first visit to look for flat or inverted nipples or, less commonly, signs of breast disease such as fibrocystic changes or cancer. Traditionally, women with flat or inverted nipples were prescribed either breast shields or nipple exercises.
How do you do a breast exam?
Initially sitting on the edge of the couch for inspection. Lying flat (with one arm above head) to palpate Provide a cover such as a blanket or a hospital gown (with the opening at the front) and ensure the curtain or door is firmly closed You need to be able to compare both breasts visually and then palpate both breasts in turn.
What medical history should be included in a breast exam?
The medical history related to the breasts should include their development, previous experience with breastfeeding, systemic illnesses, infections, breast surgery or trauma, medications, allergies, self– breast examinations and findings, and any anatomic or physical concerns the mother has about her breasts.