Patient Centered Medicine 2
September 4, 2007

Breast Examination
Michael Koller, MD

BREAST EXAMINATION

Lectures: 1:15 p.m. 
Small Group:  Immediately following lecture, SDLs, Seminar Rooms or CSC (330)

Small Group end by 3:30 in order for the first Breast Exam Workshop to begin.

Reading Assignment

  1. Bates' Guide to Physical Examination and History Taking, 8th Edition, Chapter. 8
  2. Does This Patient Have Breast Cancer?: The Screening Clinical Breast Examination: Should It Be Done? How?
  3. http://archer.luhs.org/login?url=http://gateway.ovid.com/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&AN=00005407-199910060-00041&LSLINK=80&D=ovft
  4. (Follow the above link for the article in bullet 2)
  5. Computer Assisted Lessons (Breast Exam)

Key Concepts and Learning Objectives

  1. Identify the relevant anatomy,  physiology, and lymphatic drainage as it pertains to the examination of the breast.
  2. Define terminology related to the breast examination.
  3. Recognize risk factors for breast cancer.
  4. Take a complete history for breast disease.
  5. Recognize the components of the Breast Examination
    A. Inspection
    B. Lymph Node Exam
    C. Vertical Stripe method of Breast Examination
  6. Recognize the different mammography screening guidelines
Session Objectives Teaching Methods
  1. Describe various presentations of breast disease (benign and malignant)
  2. Using models, do a complete exam of the breasts, and recognize abnormal findings
  3. Write up the exam of the breasts and axilla
  1. Review major concepts learned from the readings and lecture.
  2. Co-facilitators demonstrate exam technique on the models
  3. Co-facilitators illustrate how to write up the exam of the breasts and axilla.
lmedleyl@lumc.edu
Last Updated: 06/01/07
Created: 08/24/1998