| ID | 244 |
|---|---|
| Name | breast abscess: |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | |
| Management | |
| Introduction | |
| History | |
| Etiology | |
| Clinical Features | Clinical features: 1. Typically it occurs in the first month after first pregnancy. 2. Breast becomes swollen, red & tender 3. Malaise, fever & rigor may be present 4. Axillary lymph node enlarged, firm & tender 5. Flactuation test may be positive, not transilluminate 6. Throbbing pain, lump |
| Preventions | |
| Treatment | Management: 1. Milk engorgement should be relieved by manual expression or by breast pump. Lactation is stopped by stilboesterol lOmg daily for 5-7 days or bromocriptine 2.5mg 2 times daily for 14 days. 2. If seen after 2^3 days & pus has already been formed, which is to be evacuated by small incision at the junction -of areola & skin in a circumferen-tial direction when it is near the areola. If it is away from areola, crease-line incision given for cosmetic purpose. Loculi are broken & corrugated rubber drainage is applied. Iodine better avoid. Bed rest, & support to the breast should be applied. 3. Antibiotic- a course of appropriate antibiotic should be given. |
| Complications | |
| Prognosis | |
| Types | Types of breast abscess: Clinical type- 1. Acute : 2. Chronic According to site- 1. Intramammary 2. Sub-alveolar 3. Retromammary |
| Classification | |
| Observation | |
| Pathology |
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