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Physical Assessment Case Studies

Decent Essays

Physical Assessment Jane presents to the hospital for evaluation of a right breast mass. Jane reports that she felt a lump during her self-breast examination a month ago and called for an appointment with her gynecologist for a checkup and mammogram. On examination in the office, Jane’s breasts are asymmetrical, pain, redness, warmth and bloody discharge from the right nipple. The right breast with a lump at the 3 o’clock position and the skin is dimpling in that area. Jane’s mammogram reveals a 6cm mass to right breast. Ultrasound of the right breast confirms the 6 cm mass. Core needle biopsy confirms Stage III Breast Cancer. ER and PR= positive, HER2=positive. Jane was 12 years old when she started her periods, had 1 pregnancy and …show more content…

The National Breast Cancer Foundation states that “Forty percent of diagnosed breast cancers are detected by women who feel a lump, so establishing a regular breast self-exam is very important.” Breast self-exams help women know how their breasts look and feel like and can get to the doctor early whenever a lump is felt. There are three different ways to do a breast self-exam: 1). While in the shower, using the fingertips, go in a circle starting from the outside of the breast all the way to the center part where the nipple is, check for any lumps or hard areas on the breast and check the nipple for any discharge. Check the armpit also for any lumps or hardened areas. 2). Standing in front of a mirror with arms down, look at breasts for size, shape, swelling, dimpling or any color changes next, raise arms up over head and look same. 3). While lying down on your back, with a pillow under your shoulders ,with right arm is behind head and with the fingertips of the left hand, going in a circular motion check for any lumps, check the whole breast and the armpit. Check each side one at a …show more content…

In doing this research, all the Breast Cancer Risk Assessment Tools are geared towards women. According to BreastCancer.Org, in 2015, an estimated 231,840 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 60,290 new cases of non-invasive (in situ) breast cancer. About 1 in 8 U.S. women (about 12%) will develop invasive breast cancer over the course of her lifetime. About 2,350 new cases of invasive breast cancer are expected to be diagnosed in men in 2015. A man’s lifetime risk of breast cancer is about 1 in 1,000. The most significant risk factors for breast cancer are gender (being a woman) and age (growing

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