Abdomen & Breasts
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Transcript of Abdomen & Breasts
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Abdomen
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Structure and Function
Borders of Abdominal Cavity Lg. Oval cavity from diaphragm to
pelvis Posteriorly- vertebral column &
paravertebral muscles Laterally & anteriorly – lower rib cage
and abdominal muscles
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Abdominal Muscles 4 layers
1. External oblique2. Internal oblique3. Transverse abdominis4. Rectus abdominus
Linea alba Rectus abdominus
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Internal Anatomy Viscera Liver Gallbladder Spleen Aorta Pancreas Kidneys
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Abdominal wall = 4 quadrants RUQ LUQ RLQ LLQ Epigastric Umbilical Suprapubic
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Subjective Data
Appetite Dysphagia Food intolerance Abdominal pain N&V Bowel habits Past abd. History Medications Nutritional assessment
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Objective Data
Order of Exam Inspection Auscultation Percussion Palpation
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Spleen
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Spleen
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Rt. Kidney
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Lt. Kidney
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Refered abd. Pain
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obesity
Ascites
Ovarion cyst
Air/ Gas
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Breasts/ Axilla
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External Anatomy
B/t 2nd 6th rib Sternum to MAL Tail of Spence Nipple Areola Montgomery’s glands
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Internal Anatomy
Glandular tissue 15- 20 lobes Alveoli producing milk Ducts
Lactiferous Collecting
Ampullae Reservoir for storing milk
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Internal Anatomy cont.
Cooper’s ligaments Adipose tissue
Breast 4 quadrants Tail of Spence Most breast tumors – upper outer
quadrant
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Lymphatics
Axillary nodes Central axillary Pectoral Subscapular Lateral Lymph- central axillary node- up to
infraclavicular and supraclavicular nodes
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Lymphatics cont.
Small amt. Of lymph Directly to infraclavicular group Or deep into chest Or abdomen Or directly across to the opposite
breast
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Subjective Data - Breast
Pain Lumps Discharge Rash Swelling Trauma History Self- care behaviors
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Subjective Data- Axilla
Tenderness Swelling Lumps Rash
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Objective Data
Examination Privacy Comfort Anxiety
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Retraction
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Retraction
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Inspect & Palpate Axillae
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Palpate Breasts
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Wheel Pattern
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Concentric Circles
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Palpate Nipple
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Fibocystic Cancer Fibroadenoma