Shared Flashcard Set

Details

Breast and Regional Lymphatics
Dr. Barkley Health Assessment and Health Promotion Jarvis 5th ed. Ch 17
40
Nursing
Graduate
02/13/2012

Additional Nursing Flashcards

 


 

Cards

Term
Tail of Spence
Definition
superior lateral cornoer of breast tissue that projects up and laterally into the axilla
Term
upper outer quadrant
Definition
site of most breast tumors
Term
nipple
Definition
-located just below center of breast
-round, rough, protuberant
Term
areola
Definition
-1-2cm radius
-surrounds the nipple
-small, elevated Montgomery's glands
-has smooth muscle fibers that causes nipple erection
Term
Montgomery's glands
Definition
sebaceous glands secrete a protective lipid material during lactation
Term
Cooper's ligaments
Definition
-suspensory ligaments that support breast tissue
-contracted in cancer and forms pits and dimples
Term
glandular tissue
Definition
contains lobes that store milk
Term
adipose tissue
Definition
-layers of subQ and retromammary fat
-surrounds the lobes (glandular tissue)
Term
lymphatics drainage
Definition
>75% of lymph drains into ipsilateral axillary nodes
Term
central axillary nodes
Definition
high up in middle of axilla
Term
pectoral (anterior) node
Definition
along the lateral edge of pectoralis major muscle
Term
subscapular (posterior) node
Definition
along the lateral edge of the scapula
Term
lateral
Definition
along the humerus inside upper arm
Term
supernumerary nipple
Definition
-extra nipple along mammary ridge (embryonic "milk line"
-normal variation, benign
-located on thorax or abdomen
Term
colostrum
Definition
-precursor to milk
-thick, yellow fluid
-same amount of protein as milk, but no fat
-rich in antibodies
-form and leaks at 4 months pregnant
-expressed first few days after delivery
Term
lactation (milk formation)
Definition
-milk
-whitish color
-calcium caseinate and emulsified milk
-begins 1-3 days postpartum
Term
gynecomastia
Definition
-when male breast tissue temporarily enlargers
-feels like smooth, firm, movable disk
-adolescents usually unilateral
-aging male due to testosterone deficiency (bilateral)
-alcohol abuse, smoking weed, obesity
Term
breast symmetry
Definition
slightly asymmetrical is normal (left>right)
Term
peau d' orange
Definition
-"pig skin" "orange peel" look
-edema exaggerates hair follicles caused by lymphatic obstruction
Term
dimpling
Definition
sign of skin retention when suspensory ligaments contract (in cancer)
Term
fixation
Definition
-elevate arm maneuver
-breasts asymmetrical
-cancer causes fiberosis to fix breast to muscle
Term
benign breast disease (BBD)
aka: fibrocystic breast disease, "fibrocystic changes"
Definition
-50% of all women have a form of BBD
-tender mobile, smooth water ballon masses
-6 characterisitics: 1)swollen and tender, 2)mastalgia, 3)nodularity, 4)dominant lumps, 5)nipple discharge, 6)infection and inflammation
Term
breast cancer
Definition
-nontender, fixed, solidarity unilateral, hard, dense
-most common location: upper outer quadrant
Term
intraductal papilloma
Definition
lesions in the breast duct (single duct, unilateral) causes serous or serosanguenous discharge
Term
plugged duct
Definition
clogged milk duct causes one section of breast to be tender, reddened
Term
mastitis
Definition
-caused by infection or stasis from plugged duct
-red, swollen, tender, hot, hard area
-associated with flu like symptoms
-treat with rest, heat, antibiotics, frequent nursing
Term
abscess
Definition
-complication if mastitis not treated
-pus accumulates in one area
-treat with antibiotics and I&D
Term
nipple discharge
Definition
-normal: none except when breast feeding
-serosanguenous (pink): intraductal papilloma (benign)
-blood: cancer (malignant)
-clear
Term
lymphatics
Definition
-central axillary nodes
-pectoral
-subscapular
-lateral
Term
Tanner staging (girls)
Definition
1. preadolescent: only small, elevated nipple
2. breast bud stage: nipple develops, areola widens
3. nipple still flush with breast areola and breast enlarge
4. nipple and areola form secondary mound over breast
5. mature breast: only nipple protrudes; areola flush with breast contour
Term
breast development and menarche
Definition
breast development (Tanner 1) --> 2 years later --> menarche(Tanner 3 or 4) at 12 y.o
Term
menstruation
Definition
breasts feel full, tight, heavy, sore (3-4 days before period)
breast has smallest volume (4th-7th day of period
Term
aging female breast
Definition
-feels like rope, stringy
-mechanism: decrease estrogen, decrease glandular tissue, increase fibrous connective tissue
-appearance: decrease fat decreases breast size, droopy, saggy, flat, flabby
Term
mammogram
Definition
begins at 40 every 1-2 years
50 every year
74 earliest age to discontinue
Term
maneuvers to screen for retraction
Definition
1. arms over head
2. push hands on hips
3. push hands together
4. lean forward (large breasts)
Term
palpate axilla
Definition
sitting position
Term
palpate breasts
Definition
-supine with arm over the head
-palpation pattern: vertical stripe, concentric circle, spokes on a wheel
Term
breasts feel like...(nullparous, after pregnancy, premenstrual)
Definition
-nullparous: firm, smooth, elastic
-after pregnancy: softer, looser
-prementrual: engorged (increased estrogen)
Term
palpate nipple
Definition
supine with arm over the head
Term
mass in the breast (characteristics)
Definition
1. location (1 o'clock, 1cm from nipple)
2. size (w x h x l)
3. shape (oval, round, indistinct)
4. consistency (soft, hard)
5. movable (movable, fixed)
6. distinctness (1 or more)
7. nipple (retracted?)
8. note skin over lump
9. tenderness
10. lymphadenopathy
Supporting users have an ad free experience!