purpeural breast pain

Question 1

ddx for breast pain

Answer 1

• mastitis
• breast abscess
• contact dermatitis
• vasospasm
• blocked duct
• milk bleb
• contact dermatitis
• yeast infection
• ductal mastitis
• ductal infection

Question 2

treatment for mastitis

Answer 2

• continued breast feeding
• dicloxacillin 500 mg QID
• if mild allergy cephalexin 500 mg QID
• if severe allergy, clinda or erythromycin

Question 3

what is most common bacteria?

Answer 3

• staph; can be staph arues

- coag negative staph or streptococcus viridians also possible

Question 4

what to do if abx not improving mastitis in 48 hrs?

Answer 4

• consider augmentin or something with beta lactamase inhibitor
• US/eval for abscess
• consider MRSA possibility