Introduction: Introduce yourself and explain what you will be doing +/- ask for chaperone.

1) Vitals: Ask for the Vitals.

2) General Inspection of the Patient.

1) Inspection: hands on side, behind head, on waist

• Look for Masses, Scars, Skin changes, peau d’orange, dimpling

• Nipple retraction & Pagets disease

• Breast, Size, symmetry and Contour

• Nipple: Pigmentation, discharge, shape, ulcers

• Skin color, edema, venous pattern

2) Palpation:

• All quadrants, nipple and axillary tails for for tenderness and masses (comment on the size, shape, consistency, mobility, number and tenderness).

• Axillary, Supraclavicular & infraclavicular LNs

3) Ausculation: Listen to the Lungs

6) Thank the patient!