This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology and breast, Subject name: Surgery
[{'content': 'A 14 week post natal woman presents with fluctuant breast swelling ,what would be the treatment \nSelect and explain. \nA. Analgesics, B. Incision and Drainage, C. Continue Breast feeding with antibiotics, D. Repeated Aspirations under antibiotic cover', 'role': 'user'}, {'content': 'Answer: D \nExplanation: * The clinical diagnosis of a lactating mother at 14 weeks is usually a mastitis followed by Breast abscess. Abscess presents with Fluctuant swelling * During cellulitis stage- only Antibiotic such as Flucloxacillin and Co amoxiclav can be used. Feeding can be given the affected stage at this time. Analgesics will help to relieve pain with suppo of breast. * In antibiotics alone used in the presence of underlying pus- Antibioma will form. * Olden days- Incision and Drainage was advised if not resolves in 48 hours. * Latest recommendation: Repeated aspirations under antibiotic cover ( if needed under USG Guidance )to be performed. This allows resolution without Incision and Drainage and will also allow breast feeding in the affected breast Ref:- Bailey and Love 27th edition; Pg num:- 866', 'role': 'assistant'}]