A 37-year-old woman has had unilateral breast pain, fever, and chills for 24 hours. She breast-feed

Discussion in 'USMLE Step 2 CK' started by samuel, Dec 23, 2014.

  1. samuel

    samuel New Member

    A 37-year-old woman has had unilateral breast
    pain, fever, and
    chills for 24 hours. She breast-feeds her 1-month-old
    newborn. Her
    temperature is 38 C (100.4 F). Examination shows
    swelling, erythema, and
    localized tenderness of the left breast. Which of the
    following is the
    most appropriate next step in management?

    A
    ) Application of ice packs to the affected breast

    B
    ) Use of a breast pump

    C
    ) Immediate discontinuation of breast-feeding

    D
    ) Bromocriptine therapy

    E
    ) Penicillinase-resistant antibiotic therapy

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