How to do physical exam check-up after a breast cancer operation in ROJoson Telemedical Consultation

Remove dress from waist up.

Take pictures (still and video) of your chest and breast(s) with arms down and then arms raised.

Take video pictures of your chest and breast(s) with arms down and then with arms raised, front and right and left side views. If there are unusual findings, take close-up video pictures.

Take still pictures of your chest and breast(s) with arms down and then with arms raised - front view of the whole chest area and closed-up front view of each breast.

Then send the still and video pictures to ROJoson through the chat box for initial inspection. ROJoson may ask for more pictures as indicated after initial inspection of the pictures sent.

Video Physical Examination (Inspection)

Face the webcam or camera of the laptop or cellphone for ROJoson to do a general inspection of your chest and breast(s).

Also inspect yourself. A caregiver will likewise do an inspection to support and validate findings.

Look for any thing unusual on the chest and breast(s) - skin lesion, unusual skin discoloration, bulge, retraction, etc.

Video Physical Examination (Palpation)

Palpate yourself. A caregiver will likewise do palpation to support and validate findings.

Face the webcam or camera of the laptop or cellphone while doing a self-palpation (and palpation of a caregiver). This is for ROJoson to look at how you palpate your chest and breast(s) and also at the completeness of your palpation.

Palpate for any lump - any dominant mass - the real mass.

Use the flats of the fingers initially to palpate for any lump. Use the tips of the fingers only to verify if there is a dominant mass palpated.

Know how to differentiate lumpy breast tissues from a dominant breast mass - the real mass, a red flag if present.

Know how to differentiate a prominence of tissues from a dominant mass - the real mass, a red flag.

Flats of the fingers

Tips of the fingers (do not use these initially to look for a dominant mass).

Do not use tips of fingers initially to look for a dominant mass - like so.

Do not use tips of fingers initially to look for a dominant mass - like so.

Do not "grab" the breast to look for a dominant mass. You may be "grabbing" the normal breast and mistake it for a dominant mass.

Proper way of palpating the chest for a dominant mass.

Palpating the armpit for a possible node.

Palpating the neck for a possible node.

Palpating the opposite breast.

Palpating the armpit.

Palpating the neck.

Palpation for a possible lump on the liver

Place and constantly (do not lift up) press your examining fingers of the left hand below the ribs on the right side of the abdomen. Then, take a deep breadth at least 6 times. Feel for an abnormal lump that will move up and down with your inhalation and exhalation.

Your caregiver will also do the same.

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