Monday, August 13, 2007

Darwin's nubbin

Saw a 14 year old girl today for a physical. After the full dog and pony show, I was wrapping up. Mom asked me to peek at a spot that they had forgotten to mention, on her abdomen.

Eesh. A supernumerary (extra) nipple.

These are of course commonplace, and of no consequence.

Unless you're a 14 year old girl.

I wasn't sure how she'd take it. I had the forethought to clap my hands over her 11 year old brother's ears before whispering "It's an extra nipple."

She not only thought it was hilarious, I got big points for keeping it from her brother. I'm guessing that kind of info is major currency in the sibling wars at her house.

If supernumerary nipples aren't further evidence of evolution, I don't know what is.


SOCKS said...

Kudos for sensitivity!

rlbates said...

I recently removed two from my niece. They were located below her bra coverage. I reminded her (and will again in the future) that there may be residual breast tissue (cellular), so it will be a good idea to do her breast-self exam in that area also. Something to remember when we tell patient's that the "extra nipple" is nothing. And I do agree that nothing needs to be done most of the time.

I agree with socks--kudos for sensitivity.

Dr. Smak said...

Thanks for the tip! I neglected to mention that to her.

I enjoyed your post on subungual hematomas - I did not realize that acrylics were flammable. Good thing that hasn't come up for me before.