Flashcards in Chapter 17-20 outline Deck (153)
Breast tissue extends from the (blank) ribs to the (blank) ribs.
2 to 6
The breast tissue begins at what margin to what line?
sternal margin to the midaxillary line
What is the breast composed of?
glandular and fibrous tissue, subcutatneous and retromammary fat
Breasts are divided into how many segments?
5 segments, 4 quadrants and a tail of Spence.
What lymphatics drain skin? what drain mammary lobules?
(blank) nodes are more superficial and accessible to palpation when enlarged.
What is the start of breast development called?
What is an early sign of puberty?
(blank) is a scale of physical development in children, adolescents and adults. The scale defines physical measurements of development based on external primary and secondary sex characteristics, such as the size of the breasts, genitalia, testicular volume and development of pubic and axillary hair.
Tanner's 5 stages
In pregnant women. what proliferates and increase extensively in size and number causing breasts of enlarged size?
lactiferous ducts and alveoli
mammary tissue is in direct contact with the (blank) lymph node
When will areolae become more deeply pigemented and diameter increase. Nipples are more prominent, darker and erectile.
When will mammary vascularization increase?
Small amounts of (blank) are secreted after delivery.
colostrums (first milk)
When does milk production begin?
2-4 days after delivery
Breasts become full and dense as (blank) fills.
Breast engorgement can result from what?
milk production, tissue edema, and delay in effective ejection
When does glandular tissue atrophy gradually and get replaced by fat?
When does relaxation of suspensory ligaments occur and tissue changes cause breasts to hang more loosely?
In older adults after menopause
Where does scapular, brachial, intermediate nodes toward axiallary nodes drain from?
superficial upper outer quadrant
Where does internal mammary chain toward opposite breast and abdomen drain from?
superficial medial portion
The deep upper arm of the breast drain to which nodes?
lateral axillary nodes (brachial)
The retroareolar are of the breast drains to which nodes?
interpectoral nodes into the axillary chain (rotter)
The areola and nipple drain to which nodes?
midaxillary, infraclavicular, and supraclavicular nodes
What is this important for?o OLDCARTS o Relationship to menses – timing and severity o unilateral or bilateral, associated lumps or masses, discharge from nipple, recent injury to breasts, medications (hormones
What is this important for?o Length of time since it was first noticed. Changes in lump with size, character and relationship to menses. Is it always present or does it come and go. o Association with tenderness or pain, dimpling, change in contour, nipple discharge, retraction, tender lymph nodes, medications (hormones)
Breast mass or lump
What is this for?o Spontaneous or provoked, unilateral or bilateral, gradual or sudden onset, duration, color, odor, consistency, and amount o Association with nipple retraction, lump/mass, pain/tenderness, relationship to menses, recent injury to breasts, medications
What is this for?o Hx of hyperthyroidism, testicular tumor, Kleinfelter syndromeo Medications, antiandogens or gonadotropin-releasing hormone analogs, illicit/recreational drugs (anabolic steroids, marijuana)
Breast enlargement in men
What is the most common cancer among women in the US?