Infection · UKMLA & AKT

Lactational mastitis

A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.

Key high-yield points

  • Acute onset breast pain, erythema, warmth - typically wedge-shaped segment
  • Systemic symptoms (fever, rigors, flu-like) - suggest infective mastitis
  • Nipple fissure/crack - entry point for bacteria AND an independent indication for antibiotics
  • Fluctuant mass - suggests abscess; absence of palpable lump makes abscess unlikely

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