METHOD FOR ASSESSING THE MAMMARY GLAND DURING CLINICAL EXAMINATION BY PRIMARY CARE PHYSICIANS

摘要

FIELD: mammology.;SUBSTANCE: invention can be used for clinical examination of the mammary glands by primary care physicians. For this, at the first stage, the patient's complaints are assessed in order to assess her feelings and the degree of pain on a 5-point verbal scale. At the second stage, external symptoms are assessed, for which a visual examination of the breast is carried out with an assessment of symptoms from 0 to 4 points. At the third stage, a palpation examination of the breast tissue is performed. At the fourth stage, a visual assessment of the discharge is carried out to identify intraductal pathologies or dyshormonal processes. All indicators of the examination are summarized in a summary table and the accrued points are summed up. With a total of 0 points, it is concluded that there is no data for an unscheduled examination of the patient. With a total of 1 to 2 points, a consultation with a gynecologist is required. With a total of 3 or more points, additional instrumental examinations and consultation with an oncologist-mammologist are recommended. ;EFFECT: method allows primary care physicians to stage-by-stage analyze the condition of the mammary gland of patients with an assessment in points for further routing or monitoring of the condition.;1 cl, 8 tbl, 3 ex