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Mastitis — ABFM Board MCQ

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EasyWomen's health/OB/GYNMastitisABFM Board

A breastfeeding 32-year-old woman has focal breast pain, fever, erythema, and a tender wedge-shaped area in the upper outer quadrant. There is no fluctuance. Which of the following is the most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Continue breastfeeding and start dicloxacillin or cephalexin

Lactational mastitis is treated with continued milk drainage and antibiotics active against staphylococci when bacterial infection is suspected.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html