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breast engorgement
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BREAST ENGORGEMENT AND INFECTIONS
CAUSE:
ONSET:
SYMPTOMS:PainFeeling of tenderness or
heaviness in both breastsGeneralised malaiseTransient rise of temperaturePainful breastfeeding
PREVENTION
TREATMENTProper support of breastManual expressionAnalgesicsBreastfeedingGentle use of breastpump
ACUTE MASTITIS
ORGANISMS RESPONSIBLE:
Staphylococcus aureusS.epidermisS.streptococci
Mode of infection
Infection of the breast
parenchymal tissues
cellulitis
mastitis
Infection
Lactiferous ducts
Development of primary mammary adenitis
onset
CLINICAL FEATURESSymptoms
Malaise and haedacheFeverPain and tender swelling in one
quadrant of breast
Signs
Presence of toxic featuresWedge shaped swelling on the
breast Overlying skin is red hot and
flushed and feels tender and tense
complication
PROPHYLAXIS
MANAGEMENTBreast supportPlenty of oral fluidsBreastfeedingManual emptying of infected side
after feedFlucloxacillin 500mg Q6hanalgesics
Breast abcess
Features
Flushed breast not responding to antibiotics
Edema of overlying skinTendernessSwinging temperature
TREATMENTDrainage under GA by a deep
radial incisionPercutaneous needle aspiration
under USG guidanceBreastfeeding Mechanically pump every 2hours
BREAST PAINCandida albicans
treatmentMiconazole oral lotion or gel into
both nipples after each feed & into the infant mouth thrice daily for two weeks.
NURSING MANAGEMENT
SUMMARY
RECAPITULATION
ASSIGNMENT
CONCLUSION