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    Ob Case 5

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    jsanguenza88
    A 28-year-old woman who recently gave birth presents with right breast pain and swelling, flu-like symptoms, reduced appetite, nausea, vomiting and lethargy. She reports sore nipples since giving birth but a new brown vaginal discharge with odor. Differential diagnoses include mastitis, endometritis or another infection. Further tests would include breast and vaginal exams and potential imaging and cultures. She would be treated with antibiotics and supportive care. The patient would be counseled on signs of infection and instructed to rest, breastfeed or express breastmilk, take all medications as prescribed and follow-up if symptoms worsen or do not improve.

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    Ob Case 5

    Uploaded by

    jsanguenza88
    3 views1 page
    A 28-year-old woman who recently gave birth presents with right breast pain and swelling, flu-like symptoms, reduced appetite, nausea, vomiting and lethargy. She reports sore nipples since giving birth but a new brown vaginal discharge with odor. Differential diagnoses include mastitis, endometritis or another infection. Further tests would include breast and vaginal exams and potential imaging and cultures. She would be treated with antibiotics and supportive care. The patient would be counseled on signs of infection and instructed to rest, breastfeed or express breastmilk, take all medications as prescribed and follow-up if symptoms worsen or do not improve.

    Original Description:

    GCM OB SGD Case 5 (2024)

    Original Title

    OB CASE 5

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    A 28-year-old woman who recently gave birth presents with right breast pain and swelling, flu-like symptoms, reduced appetite, nausea, vomiting and lethargy. She reports sore nipples since giving birth but a new brown vaginal discharge with odor. Differential diagnoses include mastitis, endometritis or another infection. Further tests would include breast and vaginal exams and potential imaging and cultures. She would be treated with antibiotics and supportive care. The patient would be counseled on signs of infection and instructed to rest, breastfeed or express breastmilk, take all medications as prescribed and follow-up if symptoms worsen or do not improve.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    3 views1 page

    Ob Case 5

    Uploaded by

    jsanguenza88
    A 28-year-old woman who recently gave birth presents with right breast pain and swelling, flu-like symptoms, reduced appetite, nausea, vomiting and lethargy. She reports sore nipples since giving birth but a new brown vaginal discharge with odor. Differential diagnoses include mastitis, endometritis or another infection. Further tests would include breast and vaginal exams and potential imaging and cultures. She would be treated with antibiotics and supportive care. The patient would be counseled on signs of infection and instructed to rest, breastfeed or express breastmilk, take all medications as prescribed and follow-up if symptoms worsen or do not improve.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
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    History

    A 28-year-old, G1P1 (1001) presents with persistent localized breast pain and swelling in the
    right breast. She had a cesarean section 3 weeks prior to consult and was recovering well until 3
    days ago when she reports initially experiencing flu-like symptoms and redness over the breast,
    which have progressed despite self-management measures. She has been unable to keep herself
    warm despite several blankets and has reduced appetite, nausea, vomiting and lethargy.
    She is breast-feeding and has had very sore nipples since the birth but feels this is normal and has
    been using petroleum jelly to soothe them.
    She no longer has vaginal bleeding but has a minimal brown discharge with an odor which she
    says is improving. Bowel habit is normal and she has no urinary symptoms.

    Questions:
    1. What are the differential diagnoses?
    2. What further diagnostic tests will you request?
    3. How will you manage and treat this patient?
    4. How will you counsel/instruct this patient with regards to her condition?

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