Der Vortrag „Breastfeeding and Common Breast Conditions“ von Veronica Gillispie, MD, MAS, FACOG ist Bestandteil des Kurses „Year 4 – Selective Sub-Internship“. Der Vortrag ist dabei in folgende Kapitel unterteilt:
Breastfeeding is contraindicated in which of the following patients?
Which of the following is associated with breastfeeding?
A 27-year-old mother who just had a baby 3 weeks ago presents to your office with a complaint of almost one week of bilateral breast pain and tenderness. She states she works full time and only gets 10 minutes every 4 hours to pump, so she is unable to completely empty her breasts while at work. She reports a somewhat painful latch when she feeds her newborn daughter in the evenings. She hasn't noticed any fevers. What is the most likely cause of this woman's symptoms?
A 32-year-old new mother presents to your office 6 weeks post-partum because she feels a lump in her left breast. It is slightly tender, but otherwise not too painful. She denies any fevers or difficulties breastfeeding, although it seems her newborn son prefers feeding on the right breast. What is the patient's diagnosis and how is it best treated?
A 29-year-old breastfeeding mother presents to your office 4 weeks postpartum with a painful right breast. She feels somewhat malaised and tired for the past 3 days and reports intermittent fevers. On physical exam, her right breast is engorged, tender to palpation, has erythematous streaking, and feels warm to the touch. No masses are palpated. The left breast appears normal. What is the appropriate treatment for this patient's condition?
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Perfect and simple explanation that will be helpful for the PANCE, thank you!