Thank you for this review! It is a solid refresher. It causes me though to recall that: On initial inspection it is also helpful to have the client raise & lower their arms fully extended & to have them bend forward at the waist wth hands on hips — these offer supplement views to increase the opportunity to visualize retractions or more subtle dimpling or abnormalities. This is also a key time to assess the patient re: regular menstrual breast tenderness, ability to perform SBE & if done regularly and if any concern of discharge (not seen on exam). AND a great opportunity to teach the client &/ at least reinforce the importance of SBE. It offers appropriate opportunity to engage & speak wth the client & build rapport. All keys of advanced practice.