By Marcia Conner, WHNP,MSN
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Aging – Perimenopause " " Decrease in glandular tissue Loss of lobular and alveolar tissue – Flatten, elongate, pendulous – Infra-mammary ridge thickens – Suspensory ligaments relax – Nipples flatten – Tissue feels “grainy” 32 Clinical Breast Exam 33 Clinical Breast Exam . " Inspect both breasts " Arms at sides " Arms over head " Arms on hips with valsalva " Leaning forward 34 Inspect Both Breasts 35 Figure – ABC of Breast Disease Skin Dimpling and Change in Contour Dimpling due to carcinoma Change in contour due to carcinoma 36 Figure – ABC of Breast Disease Skin Dimpling Both Breasts Involution Due to Aging 37 Figure – ABC of Breast Disease Skin Dimpling Breast Infection 38 Figure – ABC of Breast Disease Skin Dimpling Previous Breast Surgery 39 Figure – ABC of Breast Disease Inverted Nipple Since Puberty 40 Clinical Breast Exam Palpate " " " Palpate sitting Rest arm in your hand and palpate axilla – Her arm should be relaxed Palpate supra-clavicular and infra-clavicular nodes 41 Palpate Axilla and Clavicular Nodes 42 Figure – ABC of Breast Disease Clinical Breast Exam " " " " Lay supine Place pad under shoulder to flatten breast Raise arm over head Abnormal finding?
56 Medications for Mastalgia " " Dopamine agonists?
Antioxidant – Do not take more than 1200/day Evening primrose oil? 54 Evening Primrose 55 Figure – ABC of Breast Disease Medications for Mastalgia " " " NSAIDS Monophasic oral contraceptive pills – Seasonale? – New OCP - Yasmin? Spirinolactone? 56 Medications for Mastalgia " " Dopamine agonists?