Mastitis: Difference between revisions
No edit summary |
No edit summary |
||
| Line 10: | Line 10: | ||
==Work-Up== | ==Work-Up== | ||
*US useful to differentiate mastitis from breast abscess | *US useful to differentiate mastitis from breast abscess | ||
==Differential Diagnosis== | |||
{{Postpartum emergencies DDX}} | |||
==Treatment== | ==Treatment== | ||
*There is no need to routinely interrupt breastfeeding with puerperal mastitis | *There is no need to routinely interrupt breastfeeding with puerperal mastitis | ||
**Frequent breast emptying is therapeutic | **Frequent breast emptying is therapeutic | ||
* | *[[Antibiotics]] | ||
**Indicated for severe pain or signs of systemic infection | **Indicated for severe pain or signs of systemic infection | ||
***Dicloxacillin 250mg QID x10–14d OR | ***[[Dicloxacillin]] 250mg QID x10–14d OR | ||
***[[Cephalexin]] 500mg QID x10–14d OR | ***[[Cephalexin]] 500mg QID x10–14d OR | ||
***Clindamycin 300mg QID x10–14d | ***[[Clindamycin]] 300mg QID x10–14d | ||
==Disposition== | ==Disposition== | ||
| Line 27: | Line 30: | ||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
[[Category:ID]] | |||
Revision as of 17:15, 10 January 2015
Background
- Occurs due to bacterial colonization 2/2 areolar inflammation and glandular obstruction
- Often occurs during the first few weeks to months postpartum
Clinical Features
- Fever/chills
- Flulike symptoms
- Breast exam shows erythematous region on breast w/ well-localized area of tenderness
Work-Up
- US useful to differentiate mastitis from breast abscess
Differential Diagnosis
3rd Trimester/Postpartum Emergencies
- Acute fatty liver of pregnancy
- Amniotic fluid embolus
- Chorioamnionitis
- Eclampsia
- HELLP syndrome
- Mastitis
- Peripartum cardiomyopathy
- Postpartum endometritis (postpartum PID)
- Postpartum headache
- Postpartum hemorrhage
- Preeclampsia
- Resuscitative hysterotomy
- Retained products of conception
- Septic abortion
- Uterine rupture
Treatment
- There is no need to routinely interrupt breastfeeding with puerperal mastitis
- Frequent breast emptying is therapeutic
- Antibiotics
- Indicated for severe pain or signs of systemic infection
- Dicloxacillin 250mg QID x10–14d OR
- Cephalexin 500mg QID x10–14d OR
- Clindamycin 300mg QID x10–14d
- Indicated for severe pain or signs of systemic infection
Disposition
- If suspect breast abscess refer for immediate surgical drainage
Source
Tintinalli