Examination of the Breast
History
Age-
Residence-
Social Status-
Lump-
Pain-
Discharge from nipple-
Retraction of nipple-
Loss of weight-
Past History-
Personal History-
Family History-
PHYSICAL EXAMINATION
Local examination
INSPECTION-
Breasts-
Skin over the Breast-
Nipple-
Areola-
Arm & Thorax-
Axilla & Supraclavicular fossa-
The patient is asked to raise her arms above her head-
PALPATION-
Local temperature & tenderness-
Situation-
Number-
Size & Shape-
Surface-
Margin-
Consistency-
Fluctuation-
Transillumination test-
Fixity to the skin-
Fixity to the breast tissue-
Fixity to the underlying fascia and muscles-
Fixity to the chest wall-
Palpation of the nipple-
EXAMINATION OF LYMPH NODES-
A. Palpation of the axillary group of lymph nodes-
Pectoral group-
Brachial group-
Subscapular group-
Central group-
Apical group-
B. Palpation of Cervical lymph nodes-
General Examination-
Special investigation for Breast disease
Differential diagnosis for breast disease
CLINICAL WORKUP OF A PATIENT WITH BREAST LUMP