Exam Review
Amanda Doyle
, Introduction
• Amanda Doyle
•
• Additional tutor Sarah Wood
•
, Breast Exam
• 5-7 Days after the first day of menstruation
• Consistent day of the month if no periods
• Inspect for symmetry, contours, and retraction
• Palpation with patient supine with arm above head
• Palpate in ladder pattern, circular motion for each
location
, Lactation
• Montgomery glands: sebaceous glands, produces oily
protective lubricant for lactation
• Physiological secretion with pregnancy, lactation, chest
wall stimulation, sleep, and stress
• Galactorrhea: milky discharge unrelated to pregnancy and
lactation
• Mammary souffle: “puff of air” heard during pregnancy
and lactation (venous hum)