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Related Concept Videos

Assessment of the Abdomen III: Palpation01:23

Assessment of the Abdomen III: Palpation

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Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
597
Physical Assessment of the Respiratory Tract II: Palpation01:24

Physical Assessment of the Respiratory Tract II: Palpation

353
Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
353
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

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In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
397
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

215
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
215
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

337
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
337
Assessment of the Mouth01:26

Assessment of the Mouth

198
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
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Evaluation of Palpable Breast Abnormalities.

Katerina Dodelzon1, Janine T Katzen1

  • 1Weill Cornell Medicine, Department of Radiology, New York, NY.

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Summary
This summary is machine-generated.

When evaluating a palpable breast lump, imaging is crucial. Ultrasound is preferred for women under 30, while mammography and ultrasound are used for older age groups.

Keywords:
diagnostic mammographydigital breast tomosynthesispalpable breast massultrasound

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Area of Science:

  • Radiology
  • Oncology
  • Breast Imaging

Background:

  • Palpable breast abnormalities are common clinical complaints.
  • While most are benign, they can indicate breast cancer with poorer prognosis.
  • Clinical breast examination alone is insufficient for malignancy assessment.

Purpose of the Study:

  • To outline the appropriate imaging modalities for evaluating palpable breast abnormalities based on patient age.
  • To emphasize the importance of age-appropriate imaging in the workup of breast masses.

Main Methods:

  • Review of current guidelines and evidence for breast mass evaluation.
  • Age-based recommendations for diagnostic mammography and breast ultrasound utilization.

Main Results:

  • Ultrasound is the primary modality for women under 30 due to high sensitivity and no radiation.
  • For women aged 30-39, ultrasound or mammography can be initial choices.
  • Mammography followed by ultrasound is recommended for women 40 and older.

Conclusions:

  • Age is a critical factor in selecting imaging for palpable breast abnormalities.
  • Ultrasound is highly sensitive for younger women; mammography is key for older women.
  • Advanced imaging is not currently supported for initial palpable mass evaluation.