Chapter 17-20 outline Flashcards Preview

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Flashcards in Chapter 17-20 outline Deck (153)
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1

Breast tissue extends from the (blank) ribs to the (blank) ribs.

2 to 6

2

The breast tissue begins at what margin to what line?

sternal margin to the midaxillary line

3

What is the breast composed of?

glandular and fibrous tissue, subcutatneous and retromammary fat

4

Breasts are divided into how many segments?

5 segments, 4 quadrants and a tail of Spence.

5

What lymphatics drain skin? what drain mammary lobules?

superficialdeep

6

(blank) nodes are more superficial and accessible to palpation when enlarged.

axillary

7

What is the start of breast development called?

thelarche

8

What is an early sign of puberty?

thelarche

9

(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

10

In pregnant women. what proliferates and increase extensively in size and number causing breasts of enlarged size?

lactiferous ducts and alveoli

11

mammary tissue is in direct contact with the (blank) lymph node

axillary

12

When will areolae become more deeply pigemented and diameter increase. Nipples are more prominent, darker and erectile.

pregnancy

13

When will mammary vascularization increase?

pregnant women

14

Small amounts of (blank) are secreted after delivery.

colostrums (first milk)

15

When does milk production begin?

2-4 days after delivery

16

Breasts become full and dense as (blank) fills.

lactiferous ducts

17

Breast engorgement can result from what?

milk production, tissue edema, and delay in effective ejection

18

When does glandular tissue atrophy gradually and get replaced by fat?

after menopause

19

When does relaxation of suspensory ligaments occur and tissue changes cause breasts to hang more loosely?

In older adults after menopause

20

Where does scapular, brachial, intermediate nodes toward axiallary nodes drain from?

superficial upper outer quadrant

21

Where does internal mammary chain toward opposite breast and abdomen drain from?

superficial medial portion

22

The deep upper arm of the breast drain to which nodes?

lateral axillary nodes (brachial)

23

The retroareolar are of the breast drains to which nodes?

interpectoral nodes into the axillary chain (rotter)

24

The areola and nipple drain to which nodes?

midaxillary, infraclavicular, and supraclavicular nodes

25

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

Breast discomfort/pain

26

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

27

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

nipple discharge

28

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

29

What is the most common cancer among women in the US?

breast cancer

30

When do you start mammograms?

at 40 years of age