Skin, Hair and Nails Marking Rubric - Minor exam (15%)

Breast MassChecklist***Be reminded. Checklist does NOT replace required readings. Checklist serves as a study guide/template to assist in organizing your study and preparation for the practical sessions. To achieve learning outcomes and demonstrate competent performance on the OSCEs students need to work further in learning the depth and breadth of each weekly topic following by required practice involved.

Vitals CompetenciesCompetency

AchievedClinical Rationale(accept one of the following or other clinically reasonable response)Comments

Inspection

1. Inspect breasts with Pt sitting1.1. Performed correctly

1.2. Correct rationale

2. Inspect nipples

2.1. Performed correctly

2.2. Correct rationale

Demonstrate patient positions

3. Arms at side

3.1. Performed correctly(bilateral)

3.2. Correct rationale

4. Arms raised

4.1. Performed correctly(bilateral)

5. Hands against hips

5.1. Performed correctly(bilateral)

6. Patient bends forward

6.1. Performed correctly(bilateral)

Palpation

7. Palpate breasts (bilateral) with Pt supine7.1. Performed correctly (position, draping, technique Demo all techniques; 3 depths of palpation, use finger pads)7.2. Correct rationale

8. Palpate nipples (bilateral)

if Pt presents with a report of nipple discharge8.1. Performed correctly

8.2. Correct rationale

9. Palpate axillary lymph nodes9.1. Performed correctly(bilateral)

9.2. Correct rationale

10. Palpate supra and infraclavicular nodes10.1. Performed correctly(bilateral)

10.2. Correct rationale

Characterize lump/s (if found)

11. Location

12. Size, shape

13. Consistency

14. Deliniation, mobility, tenderness

15. Menstruation, family history

16. Referral to family doctor

Reference: Bickley LS. Bates Guide to Physical Examination and History Taking.11th Ed., Lippincott Williams & Wilkins, Philadelphia PA, 2012

Dains JE, Advance Health Assessment and Clinical Diagnosis in Primary care, 4th Ed., 2012