Enhance the LSM learning experience with the Breast Health Training Tool (BHTT) – A collection of 10 single breast models with realistic medical illustration demonstrating over 50 breast conditions on four different skin tones.

Clinical Breast Conditions

Potential Differential Diagnoses

Blood blister:

  • Pumping damage

Areolar rash:

  • Contact dermatitis
  • Trauma from breast pump flange
  • Eczema
  • Herpes zoster

Blood from single nipple pore in lactating woman:

  • Contact dermatitis
  • Trauma from breast pump flange
  • Eczema
  • Herpes zoster

BHTT Breast 2

Potential Differential Diagnoses

Blood blister:

  • Pumping damage

Lesion on nipple-areolar complex:

  • Benign Montgomery glands
  • Acne
  • Folliculitis
  • Sebaceous cyst

Blood from single nipple pore in lactating woman:

  • Contact dermatitis
  • Trauma from breast pump flange
  • Eczema
  • Herpes zoster

Potential Differential Diagnoses

Rash on breast tissue and areola:

  • Contact dermatitis
  • Eczema
  • Psoriasis
  • Paget’s disease

BHTT Breast 3

Potential Differential Diagnoses

Lesion on nipple-areolar complex:

  • Paget’s disease
  • Nipple wound
  • Trauma with or without superimposed Streptococcal/Staphylococcal infection
  • Trauma without infection

BHTT Breast 5

Potential Differential Diagnoses

Lesion on nipple:

  • Paget’s disease
  • Melanoma of the nipple
  • Nipple trauma/wound with superimposed bacterial infection
  • Wart
  • Hyperkeratosis
Lesion on breast tissue:
  • Benign mole
  • Melanoma
  • Basal cell carcinoma
  • Accessory nipple
  • Hyperkeratosis

Potential Differential Diagnoses

Nipple discoloration:

  • Sore nipple due to pumping or breastfeeding
  • Contact dermatitis
  • Subacute mastitis (not mammary candidiasis)
  • Vasospasm
Lesion on breast tissue:
  • Benign mole
  • Accessory nipple
  • Melanoma
Areolar rash:
  • Psoriasis
  • Eczema
  • Contact dermatitis

BHTT Breast 7

Potential Differential Diagnoses

Trauma from pumping causing:

  • Periareolar bruising
  • Abrasion at base of nipple
  • Blister on side of nipple
Lesion on breast tissue:
  • Normal vein development
  • Sore nipple from feeding or pumping
  • Nipple exudate from subacute mastitis

BHTT Breast 8

Potential Differential Diagnoses

Nipple damage:

  • Trauma due to poor latch or pumping
  • Ulcer/erosive adenomatosis
  • Paget’s disease
Lesion on breast tissue:
  • Accessory nipple
  • Benign nevus
  • Malignant nevus

BHTT Breast 9

Potential Differential Diagnoses

Rash on breast:

  • Drug-induced urticaria
  • Urticaria due to oxytocin/let-down reflex
  • Urticaria due to allergy
    (food,environment)
  • Stevens Johnson syndrome/Toxic
    epidermal necrolysis
Nipple shape:
  • Inverted due to benign, normal anatomy
  • Retracted due to malignant process
    (note areolar asymmetry)

BHTT Breast 10

Potential Differential Diagnoses

Breast tissue:

  • Inflammatory breast cancer
  • Mastitis
  • Dependent edema
  • Postpartum engorgement
Nipple shape:
  • Flat
  • Retracted due to malignant process
  • Inverted (benign, normal anatomy)

Sample Training Scenario: Pain during breast pumping

Questions for Learners Pumping is Painful: Breast Health Training Tool, Breast #7

Discussion topics: Could nipple cream application and a different breast pump flange size, suction setting, or flange type have prevented this situation? What could the mother do to promote healing? Can she continue to nurse or express milk from this breast?

Use the Advanced Lactation Simulation Model (right breast) to practice hand expression.

Check out the BHTT Curriculum Preview