RT Book, Section
A1 Mayeaux, Jr., E.J.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164351855
T1 Breast Abscess and Mastitis
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK accessmedicine.mhmedical.com/content.aspx?aid=1164351855
RD 2024/04/18
AB A  23-year-old  woman  who  is  currently  breastfeeding  and  6  weeks  postpartum  presents  with  a  hard,  red,  tender,  indurated  area  medial  to  her  right  nipple  (Figure  94-1).  She  also  has  a  low-grade  fever.  There  is  a  local  area  of  fluctuance,  and  so  incision  and  drainage  is  recommended.  The  area  is  anesthetized  with  1%  lidocaine  and  epinephrine  and  drained  with  a  #11  scalpel.  A  lot  of  purulence  is  expressed,  and  the  wound  is  packed.  The  patient  is  started  on  cephalexin  500  mg  qid  for  10  days  to  treat  the  surrounding  cellulitis  and  seen  in  follow-up  the  next  day.  The  patient  was  already  feeling  better  the  next  day  and  went  on  to  full  resolution  in  the  following  weeks.