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Breast and lymphatic
Breast/Lymphatic
49
Nursing
Undergraduate 2
11/12/2010

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Cards

Term
Breasts
Definition
paired mammary glands that lie over the muscles of the anterior chest wall. Anterior to pectoralis major and serratus anterior muscles.
Term
Depending on sizeand shape the breasts extend?
Definition
vertically from the 2nd to 6th rib and horizontally from the sternum to the midaxillary line
Term
male and female breasts are similar until?
Definition
puberty
Term
at puberty, female breast tissue enlarges in response to?
Definition
hormones estrogen and progesterone released from ovaries
Term
T or F, the female breast is an accessory reproductive organ?
Definition
true
Term
functions of breasts
Definition
produce and store milk that provides nourishment for newborns and to aid in sexual stimulation
Term
functionof male breasts
Definition
none
Term
Tail of Spence
Definition
upper outer quadrant of breasts, extending into axillary area. most breast tumors occur in this quadrant
Term
lymph nodes in breasts
Definition
both male and female. drain lymph from the breast to filter out microorganisms and return water and protein to blood
Term
lactiferous duct
Definition
duct through which milk passes
Term
montgomery glands
Definition
elevated sebaceous glands in the areola, secrete a protective lipid substance during lactation
Term
supernumerary nipples
Definition
"milk line" extends from axilla to groin area and appears during embryonic development
Term
glandular tissue
Definition
functional part of breast. allowing for milk production. 15-20 lobes that radiate in circular fashion from nipple.
Term
mammary ducts
Definition
from the alveoli converge into a single lactiferous duct that leaves each lobe and conveys milk to the nipple.
Term
lactiferous sinus
Definition
slight enlargement in each mammary duct before it reaches nipple, milk can be stored until stimulated to be released from nipple
Term
fibrous tissue
Definition
provides support for the glandular tissue
Term
coopers ligaments
Definition
bands (suspensory ligaments) run from skin through breast and attach to the deep fascia of the muscles of anterior chest wall. (support for glandular tissue)
Term
Fatty tissue
Definition
subcutaneous and retromammary fat provides most of the substance to breast, determines size and shape.
Term
T or F, Functional capability of breast is not related to size, but rather to the glandular tissue present
Definition
true
Term
axillary lymph nodes
Definition
Anterior (pectoral), posterior (subscapular) , lateral (brachial), central (midaxillary)
Term
anterior (pectoral)nodes
Definition
drain the anterior chest wall and breasts
Term
posterior (subscapular) nodes
Definition
drain posterior chest wall and part of the arms
Term
lateral (brachial) nodes
Definition
drain most of the arms
Term
central (midaxillary) nodes
Definition
recieve drainage from the anterior, posterior and lateral lymph nodes.
Term
infraclavicular and supraclavicular lymph nodes
Definition
a small portion of lymph also flows into these or deeper into nodes within chest or abdomen
Term
lumps could be present with?
Definition
benign breast disease(fibrocystic breast disease), fibroadenomas or malignant tumors.
Term
pre menstrual breast lumpiness and soreness that subside after the end of the mestrual cycle may indicate?
Definition
benign breast disease (fibrocystic breast disease)
Term
redness and warmth indicate?
Definition
inflammation
Term
dimpling or retraction of nipple or fibrous tissue may indicate?
Definition
breast cancer
Term
recent increase in size of one breast may indicate?
Definition
inflammation or abnormal growth
Term
the older client may notice?
Definition
decrease in size and firmness, due to decrease in estrogen levels. Glandular tissue decreases, fatty tissue increases.
Term
breast pain may indicate
Definition
a late sign of breast cancer, benign breast disease, menstruation. common in clients taking oral contraceptives
Term
clear discharge
Definition
may be manually expressed from a breast that is frequently stimulated. alsom associated with certain medications (oral contraceptives, phenothiazines, steroids, digitalis, diuretics)
Term
risk of breast cancer is greater if
Definition
early menses (before 13), delayed menopause (after 52), women who have never given birth, or had first child after age 30, family history, hormones, oral contraceptives, environmental hazards, high fat diet, increased alcohol intake
Term
best time for breast self exam (BSE)
Definition
right after menstruation or between 4th and 7th day of a normal cycle
Term
ACS recommends a clinical breast exam by a health care professional how often?
Definition
every 3yrs for women 20-39 and every year for women 40 and older.
Term
ACS recommends mammogram how often?
Definition
yearly for women 40 and over
Term
breasts are first inspected with client in what position?
Definition
sitting
Term
peau d' orange
Definition
pig skin or orange peel like appearance resulting from edema, seen in metastatic breast disease. Edema is caused by blocked lymphatic drainage.
Term
prominent venous pattern
Definition
may be result of increased circulation due to a malignancy.
Term
assymetric venous pattern
Definition
may be due to malignancy
Term
pagets disease
Definition
red, scaly, crusty areas of the nipple
Term
Indicates fibrosis and fixation of the underlying tissues n(usually due to underlying malignant tumor)
Definition
restricted movement of breast or retraction of the skin.
Term
malignant tumors
Definition
usually unilateral, irregular, poorly delineated borders. hard, nontender and fixed to underlying tissues.
Term
discharge from one breast may indicate
Definition
benign intraductal papilloma, fibrocystic disease or cancer
Term
redness and inflammationof axillae
Definition
infection of sweat gland.
Term
dark velvety pigmentation of axillae (acanthosis nigricans) may indicate
Definition
underlying malignancy
Term
gynecomastia
Definition
smooth, firm, movable disc of glandular tissue (may be seen in one breast in males during puberty)
also seen in hormonal imbalance, drug abuse, cirrhosis, leukemia, thytotoxicosis
Term
fibroadenomas
Definition
lobular, ovoid or round. firm, well defined, seldom tender and usually singular and mobile. occur commonly between puberty and menopause.
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