mastitis

Question 1

what

Answer 1

inflammation of breast tissue

common complication of breast feeding

Question 2

can be caused by

Answer 2

obstruction in ducts and accumulation of milk

infection

Question 3

features

Answer 3

unilateral breast pain + tenderness
focal area erythema 
local warmth
nipple discharge
fevrr

Question 4

Mx - when due to duct blockage

Answer 4

continue breastfeeding
expess milk
breast massage
simple analgesia

Question 5

Mx - when due to infection

Answer 5

flucloxacillin (or erythromycin if pen allergic)

continue breastfeeding
express millk

Question 6

complication

Answer 6

abscess if not adequately treated

Question 7

candida of nipple

Answer 7

can occur often after course of antibx

Question 8

how can candida of nipple lead to recurrent mastitis

Answer 8

it causes cracked skin on nipple that creates entrance for infection

Question 9

candida of nipple - features

Answer 9

bilaterally sore nippled
nipple tenderness and itch
cracked, flaky, shinty areola

symptoms in baby - white patches mouth/tongue, candidal nappy rash

Question 10

candida of nipple - Mx

Answer 10

topical miconazole 2% after each breastfeed for mum

treatment for baby e..g miconazole gel or nystatin