A breastfeeding woman has a hot, red, painful breast and fever. What is the most likely diagnosis?

Answer and explanation

Correct answer: A. Lactational mastitis

  1. Step 1: The picture of a hot red painful breast in a breastfeeding woman fits Lactational mastitis.
Answer
Lactational mastitis.
Why not the others: 'Breast engorgement': it is bilateral and painful without fever or localised redness. 'Inflammatory breast carcinoma': it gives a red swollen breast without fever and does not improve with antibiotics. 'Breast abscess': it gives a fluctuant tender mass after untreated mastitis.

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