Exam Plan Template - D117 Task 2 - Gynecological Exam Plan Template ...

D117 Task 2 Gynecological Exam Plan Template Complete Breast Exam

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GIM3: Female Reproductive SystemGynecological Exam Plan Template

D117 Task 2 - Gynecological Exam Plan Template Complete Breast Exam

Anatomy Assessed:

Breasts: Glandular tissue, adipose tissue, and fibrous connective tissue. Assessment of all 4 quadrants of each breast, nipple-areola, complex, and tail of Spence.

Nipple and Areola: Inspected for shape, symmetry, lesions, inversion, discharge, and skin changes

Exam Techniques: Inspection: Patient sitting upright, disrobed to the waist, visually inspect for shape, size, symmetry, lesions, venous patterns, and skin integrity of breasts.

Inspect nipples for direction, inversion, symmetry, lesions, and discharge.

Instruct the patient to perform 3 maneuvers to accentuate any dimpling or retraction

• Hands behind the neck with elbows slightly forward
• Hands pressed on hips
• Leaning forward

Palpation:

Palpate for masses, enlargement, or tenderness while the patient is sitting

Place the patient in a supine position with a pillow or towel under the shoulder to flatten the breast. Using the pads of the first three fingers, palpate the entire breast in a concentric circular pattern, vertical strip, or wedge. Palpate all breast tissue from the clavicle to the 7 th rib and from the sternum to the mid-axillary line.

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