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Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

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Nội dung chi tiết: Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

The Breasts and AxillaeCHAPTERThe Health HistoryCommon or Concerning Symptoms> Breast lump or massI Breast pain or discomfortI Nipple dischargeAsk, “D

Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2Do you examine your breasts?” . . . “How often?” Ask about any discomfort, pain, or lumps in the breasts. Also ask about any discharge from the nipple

s, change in breast contour, dimpling, swelling, or puckering of the skin over the breasts.Health Promotion and Counseling: Evidence and Recommendatio Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

nsImportant Topics for Health Promotion and Counseling>Palpable masses of the breast>Assessing risk of breast cancer>Breast cancer screening>Breast se

Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

lf-examination (BSE)Palpable Masses of the Breast. Breast masses show marked variation in etiology, from fibroadenomas and cysts seen in younger168Bat

The Breasts and AxillaeCHAPTERThe Health HistoryCommon or Concerning Symptoms> Breast lump or massI Breast pain or discomfortI Nipple dischargeAsk, “D

Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2cystic changes CancerOver 50Cancer until provenotherwisePregnancy/Lactating adenomas, cysts,lactation mastitis, and cancerUsually smooth, rubbery, rou

nd, mobile, nontenderUsually soft to firm, round, mobile; often tenderNodular, ropelikeIrregular, firm, may be mobile or fixed to surrounding tissueAs Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

aboveAs aboveAdapted from Schultz MZ, Ward BA, Reiss M. Breast diseases. In: Noble J, Greene HL, Levinson w, et al., eds: Primary Care Medicine, 2nd

Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

ed. St. Louis: Mosby, 1996. See also Venet L, Strax p, Venet w, et al. Adequacies and inadequacies of breast examinations by physicians in mass screen

The Breasts and AxillaeCHAPTERThe Health HistoryCommon or Concerning Symptoms> Breast lump or massI Breast pain or discomfortI Nipple dischargeAsk, “D

Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2ctors are well established. Use the Breast Cancer Risk Assessment Tool of the National Cancer Institute (http://www.canccr.gov/bcrisktool) or other av

ailable clinical models, such as the Gail model, to individualize risk factor assessment for your patients. Ask women beginning in their 20s about any Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

family history of breast or ovarian cancer, or both, on the maternal or paternal side, to help assess risk of BRCA1 or BRCA2 gene mutation. (See hup:

Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

asior.som.jhmi.edu/Bayesmendel/brcapro. himl). See also Table IO-1, Breast Cancer in Women: Factors That Increase Relative Risk, p. 175.Breast Cancer

The Breasts and AxillaeCHAPTERThe Health HistoryCommon or Concerning Symptoms> Breast lump or massI Breast pain or discomfortI Nipple dischargeAsk, “D

Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2mmography for women 40 years of age and older. For women at increased risk, many clinicians advise initiating screening mammography between ages 30 an

d 40, then every 2 to 3 years until sOfit HTÍ' Ebook Bates’ poktet guide to physical examination and history taking (7E): Part 2

The Breasts and AxillaeCHAPTERThe Health HistoryCommon or Concerning Symptoms> Breast lump or massI Breast pain or discomfortI Nipple dischargeAsk, “D

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