# HA | Primer Breast and Lymphatic System

Page: https://stenobird.com/podcast/stat-stitch-deep-dive-podcast-beyond-the-bedside-7504941/ha-primer-breast-and-lymphatic-system
Text version: https://stenobird.com/podcast/stat-stitch-deep-dive-podcast-beyond-the-bedside-7504941/ha-primer-breast-and-lymphatic-system.md
Podcast: [STAT Stitch Deep Dive Podcast Beyond The Bedside](https://stenobird.com/podcast/stat-stitch-deep-dive-podcast-beyond-the-bedside-7504941)
Published: 2025-10-19T15:03:06+00:00
Episode link: https://rss.com/podcasts/stat-stitch-deep-dive-podcast-beyond-the-bedside/2278438
Audio file: https://content.rss.com/episodes/348859/2278438/stat-stitch-deep-dive-podcast-beyond-the-bedside/2025_10_19_15_02_56_fdf986c2-3681-4070-bb12-c99c465aea85.mp3
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JSON: https://stenobird.com/v1/public/podcasts/stat-stitch-deep-dive-podcast-beyond-the-bedside-7504941/episodes/ha-primer-breast-and-lymphatic-system
Duration seconds: 774

## Resource

🩺 Breast Health & Cancer — High-Yield Study Guide (RN prep) 1) Classifications & Key Types DCIS : In-duct only, noninvasive . IDC : Most common (≈80–90%) , past duct; firm ± fixed. ILC : ≈10%; often thickening vs discrete lump. IBC : Aggressive red-swollen breast , peau d’orange; urgent eval . Paget dz (nipple) : Erythema, flaking, burning, discharge, pain (late); often linked to intraductal CA. Triple-Negative (ER-/PR-/HER2-) : 10–20%; more in younger & Black pts; faster course. 2) Common Benign Fibrocystic changes : Cyclic tender “rubbery/granular” lumps ↑ pre-menses, ↓ after; hormonal. 3) Red Flags → Refer ⚠️ New mass that’s hard, fixed, poorly defined . Spontaneous, unilateral, bloody/guaiac+ discharge . Skin changes : peau d’orange , new dimpling/retraction . New nipple inversion . Inflammatory signs (redness/warmth/rapid enlargement) → think IBC . 4) Bedside Approach (Nursing) HPI : COLDSPA for pain/lumps. Teach risk reduction : regular exercise, ≤1 drink/day , weight control; high-risk pts discuss enhanced screening. Med review (can cause pain/discharge): hormones/OCPs , antipsychotics (e.g., haloperidol/risperidone), antidepressants , sedatives, some antihypertensives ; herbs: fennel/anise/fenugreek . 5) Screening (ACS-style talking points) 🎯 Mammogram : annually from 40 (50–74 may go q2y ). CBE : q2–3y in 20s–30s; yearly ≥40 . BSE : optional—teach correct method; goal = body awareness. 6) Risk Factors (know these!) 🧬 Non-modifiable : female, ↑age, BRCA1/2 (≈5–10%) , prior LCIS/atypia , early menarche/late menopause , prior chest radiation , dense breasts . Reproductive : nulliparity or 1st birth >30 . Lifestyle : obesity , post-meno HRT , alcohol (esp. ≥2/day), night-shift/2nd-hand smoke, high-fat diet. 7) Physical Exam (how to) 🧪 Position : Ins…

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## Transcript

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