Mastitis

Question 1

mastalgia - things to ask about

Answer 1

cyclical vs non cyclical

cyclical - radiates axilla/arms, premenopausal

Question 2

mastalgia - management

Answer 2

(topical) NSAIDs - cyclical or non

cyclical - reassure but image

Question 3

mastitis/abscess - presentation

Answer 3

tender red lump

with abscess - tired + unwell

Question 4

mastitis - cause

Answer 4

milk stasis - eg poor attachment

can be infectious (staph aureus) or non infectious

Question 5

mastitis - RFs

Answer 5

reduced feeding on a breast
poor attachment to breast
dummy + bottle
tight bra

Question 6

mastitis +- abscess - management

Answer 6

USS breast
keep feeding (express if can’t)
avoid tight bra
warm compress
fluclox if infected - return if doesn’t work
breastfeeding counsellor - advice on attachment + positioning

abscess - refer breast clinic:
penicillin (as staph aureus + safe)
USS-guided aspiration (OP)

2ww breast clinic if not lactational (?inflam BC)