Examines for supraclavicular nodes. Quadrant sweep maneuver to localize and elicit discharge only if spontaneous nipple discharge is present. Breast palpation in systemic fashion using the strip, spoke or circle method. Covers breast not being examined. Patient asked to breathe with mouth open.
Student goes back and forth from right to left chest for comparison in percussion.
Percussion anterior and posterior. Checks bilaterally for diaphragm excursion. Student goes back and forth from right to left chest for comparison on auscultation. Auscultation anterior and posterior. Auscultation for apices in supraclavicular areas.