M6 13-005 Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Term | Definition |
Normal Breast: External Components | Skin, Areola, Nipple |
Normal Breast: Internal Components | Mammary Glands, Lobes (15-20), Adipose tissue determines breasts size, Milk production is called lactation, Axillary & internal mammary lymph nodes |
Breast Nodes: | 15-20 Lobules contain milk-producing cells Lactiferous ducts empty into the nipple |
Breasts response | Respond to the hormonal cycle associated with ovulation, menstruation, and pregnancy. |
Breast response: Hormones | Prolactin, Progesterone, Estrogen |
Breast Assessment Triad | Breast Self Exam (BSE) Clinical Breast Exam (CBE) Mammography |
Breast Self Exam (BSE) | A regular (monthly) systematic examination starting at the age of 20 Regularity is the Key! Usually 7 to 8 days after menses 90% of lumps are found by women during BSE |
Regular Breast Examination: Rationale | The majority of lumps found are not cancerous. Cancerous breast lesions are treatable. |
Techniques for teaching BSE | Inspection Palpation Timing of BSE |
Types of Breast Changes to Report | Changes in skin texture. Retraction or indentation of nipple. Discharge from nipple. Atypical fullness and/or puckering Breast Dermatitis Mastitis Paget's Disease Inflammatory Breast Cancer |
Timing of BSE's: Menstruating | Menstruating women- 3-8 days after end of mensus |
Timing of BSE's: Post-menopausal Women | First day of the month or on any special day that is remembered |
Mammograms | A low dose x-ray of the breast in combination with a physical exam. Detects tumors not detectable with palpation. Detects tumors as small as 0.5 cm, Annual screenings beginning at 40 years of age. |
Established risk factors for breast cancer | Age over 50 Family history Defective gene BRCA 1 and BRCA Chronic alcohol use Ethnicity Nulliparity Age of first full term pregnancy |
50% of women diagnosed with breast cancer demonstrated none of the identified risk factors except for | age |
Benign Growths | Fibrocystic Breast Condition Fibroadenoma Acute Mastitis Chronic Mastitis |
Fibrocystic Breast Disease Or Benign Breast Disorders | Also called chronic cystic mastitis or mammary dysplasia Cause is unknown but related to response of breast tissue to cyclic hormone changes Most common benign breast lesion |
Fibrocystic Breast Disease Or Benign Breast Disorders | Results from hormonal changes during the menstrual cycle |
Fibrocystic Breast Disease Or Benign Breast Disorders: Symptoms | Premenstrual pain or breast tenderness Diffuse tender cysts Usually occur bilaterally Mobile lumps - if close to skin surface Deeper ones from carcinoma Surgical biopsy for definitive diagnosis |
Fibrocystic Breast Disease Or Benign Breast Disorders: Characterisitcs | Most common benign breast lesion Affects premenopausal women usually ages 30 – 50  Aspiration biopsy may be required for definitive diagnosis |
Fibrocystic Breast Disease Or Benign Breast Disorders: Interventions | Padded bra/good supportive bra Analgesics / diuretics Dietary measures Danocrine/Danazol Hormonal contraceptives |
Fibroadenoma | Solid benign mass of connective tissue & glandular tissue Usually occurs in late adolescence or early adulthood Cause unknown but related to hormonal changes |
Fibroadenoma: Characteristics | grows during pregnancy shrinks after menopause grows slowly: -usually single nodule -not related to menstrual cycle -not considered pre-cancerous |
Fibroadenoma: Assessment Finding | Painless, non-tender lump Encapsulated, mobile firm If large, breast size asymetric |
Fibroadenoma: Diagnosis and Treatment | US more accurate than mammogram Excisional biopsy as needed |
Fibroadenoma: Nursing Management | Teach how to perform BSE's Wound care if excision is necessary Follow-up care |
Acute Mastitis | Bacterial infection usually caused by S. aureus or streptococci Occurs mostly during lactation Caused by poor hygiene or infant infection Tender/inflammed breasts obstructing milk flow Use of warm packs, well fitting bra, ABX helpful |
Chronic Mastitis | Women between ages of 30-50 Common in obese women Multiparous Have had difficulty nursing Inverted or cracked nipples Traumatic injury to breasts Increased fibrosis of tissue |
Created by:
jtzuetrong
Popular Medical sets