A 34-year-old female who gave birth 2 weeks ago developed fever and pain in the right breast while nursing her baby. The patient has tenderness, eythema, and swelling of the nipple on the right breast
Which of the following diagnostic studies is indicated?
A. White blood cell (WBC) count
B. Breast milk culture
C. Ultrasound
D. Fine needle biopsy
ANS: A
For mastitis, white blood count should be obtained and is usually elevated. Even though the breast milk can be cultured, this is not generally recommended. If the presentation is atypical—that is, the patient is not lactating—and there are no associated systemic signs or symptoms, a consultation should be obtained and mammography ordered to determine the definitive diagnosis and rule out malignancy.
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