ChoiceHub

Introduction

Greetings

Hand wash

Verify the patient's identity using at least two or three details

Explanation

Consent

Ask for chaperone

Have the curtain drawn

Lie patient supine with ipsilateral arm stretched

Cover the breast that is not being examined

Comment on symmetry

Comment on any obvious lumps, swelling, erythema, changes in contour

Nipple changes

Inverted, retracted, inflamed / erythema, differences between two

Look for discharge / (optional) ask for patient to gently squeeze their nipple for discharge

Comment on any other skin changes (Skin puckering/dimpling, Nipple ulceration or nodules, Note any peau d'orange)

(Optional / not in guide) Raise breasts with back of your hand to observe below

Palate the breasts systematically (cover all 4 quadrants in your own way)

Palate axillary tail

Palpate nipple

Describe lumps (if any)