7 Days Of Painful in Surgery — Case | General Surgery | SMLE Q#1345
SMLE Question #1345
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 28-year-old primiparous woman, 4 weeks postpartum, presents with 7 days of a painful right breast lump while breastfeeding. She reports progressive localized redness and low-grade fever partially relieved by paracetamol. Examination shows a 5 cm tender, fluctuant mass in the upper outer quadrant with overlying erythema and skin thinning; the nipple–areola complex is normal and milk is expressed. What is the most appropriate next step in management?
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