Examination Skill assessment Checklist
Students Name: ____________________________ College
ID___________
0 not performed, 1 performed unsatisfactorily, 2 performed
satisfactorily
TASK: Perform examination of breast on the given mannequin
S. no.StepDetails012
1 Introduction Greet the patient and introduce yourself Explain
the procedure and gain the consent of the patient. Ensure privacy
and always have a female attendant. Position the patient correctly
(semi-recumbent 45%) with appropriate draping. Wash your hands/warm
them
2 Inspection Examine & compare both sides: Symmetry &
Contour Skin condition: Dimpling / Puckering, peau d orange,
ulceration, discoloration, Engorged veins Nipple-areola complex:
Surface(cracks/fissures), discharge, retraction Arms and thorax:
(edema, distended veins)
3 Palpation With gentle rotatory mini-movement using the fingers
palpate the: The four quadrants in a circular manner Axillary tail
of Spence Nipple-areola complex Inframammary fold Repeat the same
steps for other breast
4 Check the lymph nodal status Palpate the following groups
Axillary (Use Right hand to examine left axilla and vice versa)
Supraclavicular
5 Conclusion Finish up your exam with thanking the patient and
draping her Wash your hands and summarize your findings
TOTAL
Signature of Faculty
