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20-year-old woman who is breastfeeding presents to the emergency room with a 3-day history of

pain and redness in the right breast. Her temperature is 38C. On examination, there is a
fluctuant 10 cm diameter area of induration, redness and extreme localized tenderness. Which
one of the following is the most appropriate step in management?
1) prescribe a course of cloxacillin
2) discontinue breast-feeding (from both breasts)
3) Express milk from the right breast with pump and discontinue breast feeding (from the left)
4) incise and drain the indurated area
5) apply a hot compress and prescribe an anti-inflammatory (medication)

A: 4) incise and drain the indurated area

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