Gynecology Book

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MastitisAka: Breast abscess

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  1. Pathophysiology
    1. Generally occurs in Lactation several weeks postpartum
    2. Bacteria enter through a cracked nipple
  2. Etiology
    1. Staphylococcus aureus
    2. Escherichia coli
    3. Haemophilus Influenzae
  3. Signs
    1. Fever
    2. Unilateral Breast inflammation
      1. Warmth
      2. Tenderness
      3. Erythema
    3. Observe for signs of breast abscess
      1. Requires needle aspiration
  4. General Measures
    1. Continue breastfeeding with frequent nursing
    2. Tylenol
    3. Rest, Warm packs, and Massage
    4. Alternate feeding positions
  5. Management
    1. Antibiotics (Staphylococcus aureus)
      1. Dicloxacillin 250-500 mg PO qid for 7 days
      2. Clindamycin 300 mg PO q6h for 7 days
      3. Erythromycin 250mg PO qid for 7 days
      4. Cefazolin 1g IV q8h
    2. Antifungals (Monilial Infection)
      1. Topical Antifungals on breast
      2. Oral Nystatin for infant
  6. Follow-up
    1. If not better in 48 hours examine breast for abscess
      1. Consider Incision and Drainage
    2. Early antibiotics prevent abscess formation

mastitis (C0024894)

Definition (MSH)INFLAMMATION of the BREAST, or MAMMARY GLAND.
Definition (NCI)Inflammation of the breast.
ConceptsDisease or Syndrome (T047)
ICD9611.0
EnglishBREAST INFLAMMATION, INFLAM DISEASE OF BREAST, Inflammatory breast disease, Inflammatory disease of breast, Inflammatory disorder of breast, mastitis
Spanishenfermedad inflamatoria de la mama, mastitis, trastorno inflamatorio de la mama
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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