QuestionSBA
QuestionChoice
The question does not mention breastfeeding. The management of lactational mastitis is to encourage breastfeeding for 12-24 hours and review the need for antibiotics.
10034833
b
Encourage breastfeeding and review
QuestionChoice
There are no signs of a breast abscess at present. The diagnosis is non-lactational mastitis, for which co-amoxiclav should be prescribed.
10034834
c
Incision and drainage
QuestionChoice
Warm compresses may provide symptomatic relief, however, antibiotic treatment is required in all cases of non-lactational mastitis.
10034835
d
Warm compresses
QuestionChoice
This patient has signs of non-lactational mastitis, which usually presents in a wedge-shaped distribution. NICE recommends all patients with this condition receive co-amoxiclav (or erythromycin/clarithromycin + metronidazole), with a review at 48 hours.
10034832
a
Oral co-amoxiclav
QuestionChoice
This is not appropriate; the patient is in pain and requires antibiotic treatment. The first choice antibiotic in non-lactational mastitis is co-amoxiclav.
10034836
e
Watch and wait
Concept
Chapter
2693
6090
Mastitis
Topic
151
Breast Disease
19370
Non-lactational mastitis presents with a warm, tender, wedge-shaped erythematous patch and is typically treated with oral co-amoxiclav.
A 31-year-old woman is experiencing tenderness and pain in her right breast 10 weeks after giving birth. Her baby has been bottle-fed for the past few weeks. She has not experienced this issue before, is feeling unwell and is in significant pain. 

On examination, she has a warm, tender, wedge-shaped erythematous patch on the right breast, with no palpable masses and no visible discharge.

What is the single best course of management?
a