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illustrated clinical cases Pediatric Emergency Medicine Second Edition
The mother of a 10-day-old female brings her daughter to the emergency because she has “swelling of her breasts.” The patient was born full-term, vaginal delivery, no complications.
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Mother was not taking any medications during the pregnancy and denies any current medication or drug use. Mother noticed the swelling over the past few days and it has been gradually increasing, but the patient otherwise seems to be doing well. The patient has been feeding well on breast milk, urinating well, and has returned to her birth weight. No fevers, breast discharge,or redness reported by mother.
Physical exam shows a well-appearing female infant and is unremarkable except for swelling under the bilateral nipples. Swelling is approximately 4 cm in diameter bilaterally, non-erythematous, not fluctuant, and is not warm to the touch. The swelling is mobile, presenting no nipple discharge, and non-tender. The genitalia are normal for age and there is no lymphadenopathy.
