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Introduction to Clinical Skills  Breast and Axillae Universidad Iberoamericana UNIBE
Introduction to Clinical Skills <ul><li>Teaching Staff  </li></ul><ul><ul><li>Dra Elizabeth Peralta </li></ul></ul><ul><ul...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Embriology </li></ul></ul><ul><ul><l...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Embriology </li></ul></ul>
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Anatomy and physiology </li></ul></u...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>The Health History </li></ul></ul><u...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Health Promotion and Counseling </li...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Breast Cancer Risk factors </li></ul...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Breast Cancer Risk factors </li></ul...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </l...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </l...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </l...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </l...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </l...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Technique of Examination: Male </li>...
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Breast self examination </li></ul></ul>
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Unibe Anatomical Model </li></ul></ul>
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Unibe Anatomical Model </li></ul></ul>
Introduction to Clinical Skills <ul><li>The Breast  and Axillae </li></ul><ul><ul><li>Anatomical Models </li></ul></ul><ul...
Introduction to Clinical Skills <ul><li>The Breast and  Axillae </li></ul><ul><ul><li>Anatomy  </li></ul></ul>
Introduction to Clinical Skills <ul><li>The Breast and  Axillae </li></ul><ul><ul><li>Inspection </li></ul></ul>
Introduction to Clinical Skills <ul><li>The Breast and  Axillae </li></ul><ul><ul><li>Palpation </li></ul></ul>
Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Recording your findings </li></ul></u...
Introduction to Clinical Skills
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Breast and axillae

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Transcript of "Breast and axillae"

  1. 1. Introduction to Clinical Skills Breast and Axillae Universidad Iberoamericana UNIBE
  2. 2. Introduction to Clinical Skills <ul><li>Teaching Staff </li></ul><ul><ul><li>Dra Elizabeth Peralta </li></ul></ul><ul><ul><li>Dr Marcos Núñez </li></ul></ul><ul><ul><li>Dra Cristina Páez C </li></ul></ul><ul><ul><li>Dr Juan Carlos Mariñez </li></ul></ul><ul><ul><li>Dra Wayna Greo </li></ul></ul><ul><ul><li>Dra Yun Pey Lee </li></ul></ul>
  3. 3. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Embriology </li></ul></ul><ul><ul><li>Anatomy and physiology </li></ul></ul><ul><ul><ul><li>Female vs Male breast </li></ul></ul></ul><ul><ul><li>The Health History </li></ul></ul><ul><ul><li>Health Promotion and Counseling </li></ul></ul><ul><ul><li>Breast Cancer Risk classification </li></ul></ul><ul><ul><li>Technique of Examination </li></ul></ul><ul><ul><li>Breast self examination </li></ul></ul><ul><ul><li>Recording your findings </li></ul></ul>
  4. 4. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Embriology </li></ul></ul>
  5. 5. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Anatomy and physiology </li></ul></ul><ul><ul><ul><li>Female vs Male breast </li></ul></ul></ul>
  6. 6. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>The Health History </li></ul></ul><ul><ul><ul><li>Breast lump or mass </li></ul></ul></ul><ul><ul><ul><li>Breast pain or discomfort </li></ul></ul></ul><ul><ul><ul><li>Nipple discharge </li></ul></ul></ul>
  7. 7. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Health Promotion and Counseling </li></ul></ul><ul><ul><ul><li>Palpable masses of the breast </li></ul></ul></ul><ul><ul><ul><li>Assesing risk of breast cancer </li></ul></ul></ul><ul><ul><ul><li>Breast cancer screening </li></ul></ul></ul>
  8. 8. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Breast Cancer Risk factors </li></ul></ul><ul><ul><ul><li>Female, 65 yo, jewish heritage, high socioeconomic status, tall </li></ul></ul></ul><ul><ul><ul><li>BRCA1 or BRCA2 </li></ul></ul></ul><ul><ul><ul><li>Two or more first degree relatives with breast cancer </li></ul></ul></ul><ul><ul><ul><li>Personal history of breast cancer </li></ul></ul></ul><ul><ul><ul><li>High breast tissue density </li></ul></ul></ul><ul><ul><ul><li>Biopsy confirmed atypical hyperplasia </li></ul></ul></ul><ul><ul><ul><li>High dose radiation to chest </li></ul></ul></ul><ul><ul><ul><li>↑ Estrogens </li></ul></ul></ul>
  9. 9. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Breast Cancer Risk factors </li></ul></ul>
  10. 10. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </li></ul></ul><ul><ul><ul><li>Breast Inspection </li></ul></ul></ul><ul><ul><ul><li>Breast Palpation </li></ul></ul></ul><ul><ul><ul><li>Nipple Palpation </li></ul></ul></ul>
  11. 11. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </li></ul></ul><ul><ul><ul><li>Breast Inspection </li></ul></ul></ul>
  12. 12. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </li></ul></ul><ul><ul><ul><li>Breast Palpation </li></ul></ul></ul>
  13. 13. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </li></ul></ul><ul><ul><ul><li>Breast Palpation </li></ul></ul></ul>
  14. 14. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Technique of Examination: Female </li></ul></ul><ul><ul><ul><li>Nipple Palpation </li></ul></ul></ul>
  15. 15. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Technique of Examination: Male </li></ul></ul><ul><ul><ul><li>Inspect nipple and areola </li></ul></ul></ul><ul><ul><ul><li>Palpate the areola and breast tissue for nodules </li></ul></ul></ul><ul><ul><ul><li>Distinguish obesity from gynecomastia </li></ul></ul></ul>
  16. 16. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Breast self examination </li></ul></ul>
  17. 17. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Unibe Anatomical Model </li></ul></ul>
  18. 18. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Unibe Anatomical Model </li></ul></ul>
  19. 19. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Anatomical Models </li></ul></ul><ul><ul><li>SP Patients </li></ul></ul>
  20. 20. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Anatomy </li></ul></ul>
  21. 21. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Inspection </li></ul></ul>
  22. 22. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Palpation </li></ul></ul>
  23. 23. Introduction to Clinical Skills <ul><li>The Breast and Axillae </li></ul><ul><ul><li>Recording your findings </li></ul></ul><ul><ul><ul><li>“ Breast symmetric without masses. Nipples without discharge”. Axillary adenopathy usually included after Neck in section on Lymph nodes </li></ul></ul></ul>
  24. 24. Introduction to Clinical Skills
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