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Breast exam

 Ask for permission and explain

 Make the model stand up


 Arms at the sides

 lesions, visible masses, skin dimpling, peau de
 orange, skin retraction, skin color changes
 Nipple discoloration, erythema, edema, excoriation,
 nipple inversion
 Inspection also done with patient's arms up and
 patient's arms at the hips


 Ask patient to lie down and raise arms above head

 Palpate lymph nodes.
o Supraclavicular
o Infraclavicular
o Axilla
 Inform patient that you are going to touch her breasts
 Palpate breasts inner to outer and upper chest
 Nipple discharge