Breast pain

Question 1

Mcc of breast pain

Answer 1

Cyclical - d/t abn prolactin release

Question 2

Mx of mastalgia

Answer 2

Reassure, educate
Adjust dose of OCP/HRT if using
Stop smoking

Question 3

Tietze syndrome

Answer 3

Costochondral strain ..
pain referred to breast

Swelling 4cm lateral to sternum

Self limiting
Steroid/anaethetic injection at costochondral junction

Question 4

*Mastitis

Answer 4

1. Cellulitis of interlobular connective tissue
2. Mostly lactating women
3. Milk accumulation..Staph infection
4. After 48hrs, turns into breast abscess - tense indurations
   (prevented by feeding from affected site)
5. Antibiotics if pain, fever
   Flucloxacillin/cephalexine

Question 5

Mx of breast abscess

Answer 5

Formed after 48hrs of mastitis
Stop breast feeding
*Best - USG guided aspiration
Antibiotic
Express breast milk

Can feed after completely emptying the breast