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Comprehensive Assessment of the Breasts, Axillae, and Reproductive System: Health History, Examination, and Risk Factors

Review of clinical assessment procedures for reproductive health.

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    Comprehensive Assessment of the Breasts, Axillae, and Reproductive System: Health History, Examination, and Risk Factors Breasts and Axillae: Inspect Breasts Abnormal Findings - marked asymmetry - rapid changes in size of one could indicate inflammatory process or growth - dimpling, retraction, or bulging could indicate a malignancy - inflammation may cause surface erythema and heat Breasts and Axillae: Inspect Areolae and Nipples - areolae color ranging from pink to black - areola should be round/oval and appear bilaterally similar - areola may have slightly raised bumps, hair may be seen - most nipples protrude; some may be flat or inverted - nipple inversion normal if it is not a new finding - smooth, intact without evidence of crusting, lesions, bleeding, or discharge Breasts and Axillae: Inspect Areolae and Nipples Abnormal Findings - rash on one breast - unilateral hyperpigmentation - unilateral venous patterns - areolae that are unequal bilaterally, have an irregular shape, or have lesions or changes in color - nipples that point in different directions or not symmetric - nipple retraction could suggest malignancy - nipple edema, redness, pigment changes, ulceration or crusting, erosion or scaling, and wrinkling or cracking - nipple discharge not normal Breasts and Axillae: Female Breast Examination: Inspect - arms over head = breasts are bilaterally symmetric - arms raised, lean forward = breast should hang equally with smooth contour, and pull = symmetric - patient's hands on hips = symmetry Breasts and Axillae: Female Breast Examination: Inspect

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