OBGYN EOR Exam QUESTION AND ANSWERS | 100% CORRECT

OBGYN EOR Exam QUESTION AND ANSWERS | 100% CORRECT A breastfeeding 28 y/o woman presents for eval of a painful R breast "lump" 3 wks after delivery of a healthy newborn. Exam reveals localized erythematous edema of the R breast, a 7/10 painfully palpable discrete induration & thick, yellow nipple discharge. The nipple & areola are not excoriated. The L breast is unremarkable. You refer the pt for a drainage procedure. In the meantime, what is an appropriate initial plan? - *Start abx & continue breastfeeding w/ either breast* What is the MC causative organism of mastitis? - *S. aureus* (tx = dicloxacillin, amoxicillin, or cephalexin) What are appropriate abx choices for tx of mastitis? - *Dicloxacillin/ amoxicillin/ cephalexin* (all anti-staph abx) A 32 y/o woman comes to your office w/ fever & lower abdominal pain. She has a hx of PID. Her vitals are T 38.4°C, HR 133, & BP 101/60. On exam, the pt is toxic appearing & has marked lower abdominal tenderness to palpation w/ rebound & guarding. Pelvic exam reveals CMT, scant discharge, & L adnexal tenderness. The pt's urine beta-hCG is negative. A transvaginal USN is performed & reveals a complex cystic, thick-walled, well-defined mass in the L adnexa. What is the most appropriate next step in management? - *Begin IV abx & admit for possible drainage* (dx = likely tubo-ovarian abscess