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Lactational mastitis — DRCOG MCQ

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EasyPostnatalLactational mastitisDRCOG

A 33-year-old breastfeeding woman develops a painful red wedge-shaped area on one breast 3 weeks after birth. She has a temperature of 38.5°C and feels flu-like. The baby is well. What is the most appropriate management?

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Correct answer: E — Continue milk removal and prescribe an appropriate anti-staphylococcal antibiotic

Mastitis is managed with effective milk removal, analgesia, fluids and antibiotics when systemic symptoms or persistent signs are present. Stopping feeding can worsen milk stasis and mastitis. Fluconazole is used for candidal infection rather than typical bacterial mastitis. Mammography is not the first investigation for an acute classic presentation.

Reference: NICE NG194; BNF