HPD Breast Exam and Female GU
1. Where is the location of the breasts vertically and horizontally?: Vertically: extends
from the clavicle and 2nd rib down to the 6th rib
Horizontally: extends from sternum across to posterior axillary line
2. What is included in breast tissue?: - glandular tissue with milk
- lobes and lobules
- ducts
- adipose tissue
- muscle
- ligamentous tissue
3. What is included in the nipple and areola?: - sebaceous gland with sebum (lubricant)
- sweat glands
- accessory areolar glands
- surrounding smooth muscle
4. What should a normal breast tissue feel like upon palpation?: - soft, nodular, or
diffusely lumpy "fibrocystic"
,5. If someone has naturally nodular breasts, should both sides feel like that?: YES,
usually
6. When do the breasts become more tender to palpation?: - before and after menses
7. When is the best time to examine the breasts in relation to menses?: - 5-7 days
after first day of LMP
8. What are the breasts like in males?: - thin disc of underdeveloped breast tissue containing ducts
9. How many men will have a firm "button" of breast tissue?: 1/3 of men (2 cm or larger
firm "button" of breast tissue)
10. What is gynecomastia?: - benign breast enlargement in men
- proliferation of palpable glandular tissue
11. What are the causes of gynecomastia?: - estrogen
- low testosterone
- medication SEs
12. Where are extra/supernumerary nipples?: - along the milk lines
- can occur in males or females
, 13. What are the 4 quadrants of the breast?: - Upper outer quadrant
- upper inner quadrant
- lower inner quadrant
- lower outer quadrant
14. Where do the horizontal and vertical lines of the breast quadrant intersect?: -
at the nipple
15. Where does the tail of spence extend into?: - into the axilla
16. How are areas and lesions of the breast documented?: - with distance in cm from the
nipple in which quadrant
- clock face description
17. Where is the primary drainage of the breast lymphatics?: - axillary lymph nodes is
primary drainage
- also infraclavicular nodes
- internal mammary chain
18. What is an essential component of any breast exam?: - lymph node exam
1. Where is the location of the breasts vertically and horizontally?: Vertically: extends
from the clavicle and 2nd rib down to the 6th rib
Horizontally: extends from sternum across to posterior axillary line
2. What is included in breast tissue?: - glandular tissue with milk
- lobes and lobules
- ducts
- adipose tissue
- muscle
- ligamentous tissue
3. What is included in the nipple and areola?: - sebaceous gland with sebum (lubricant)
- sweat glands
- accessory areolar glands
- surrounding smooth muscle
4. What should a normal breast tissue feel like upon palpation?: - soft, nodular, or
diffusely lumpy "fibrocystic"
,5. If someone has naturally nodular breasts, should both sides feel like that?: YES,
usually
6. When do the breasts become more tender to palpation?: - before and after menses
7. When is the best time to examine the breasts in relation to menses?: - 5-7 days
after first day of LMP
8. What are the breasts like in males?: - thin disc of underdeveloped breast tissue containing ducts
9. How many men will have a firm "button" of breast tissue?: 1/3 of men (2 cm or larger
firm "button" of breast tissue)
10. What is gynecomastia?: - benign breast enlargement in men
- proliferation of palpable glandular tissue
11. What are the causes of gynecomastia?: - estrogen
- low testosterone
- medication SEs
12. Where are extra/supernumerary nipples?: - along the milk lines
- can occur in males or females
, 13. What are the 4 quadrants of the breast?: - Upper outer quadrant
- upper inner quadrant
- lower inner quadrant
- lower outer quadrant
14. Where do the horizontal and vertical lines of the breast quadrant intersect?: -
at the nipple
15. Where does the tail of spence extend into?: - into the axilla
16. How are areas and lesions of the breast documented?: - with distance in cm from the
nipple in which quadrant
- clock face description
17. Where is the primary drainage of the breast lymphatics?: - axillary lymph nodes is
primary drainage
- also infraclavicular nodes
- internal mammary chain
18. What is an essential component of any breast exam?: - lymph node exam
