In the ED, their vitals/exam are as above. The differential for breast pathology is broad and includes cellulitis +/- abscess, deep space infection (enhanced if patient has spacer/expander), post-surgical scarring/irritation, mastitis, dermatologic process from bra irritation, malignancy. This patient’s presentation is most consistent with ***. Without concern for Peau d’orange with underlying malignancy, especially given patients age, minimal risk factors, and lack of axillary LN/TTP. Without evidence of CP/SOB/hypoxia/tachycardia concerning for PE.
– Labs/Tests: Pre-op labs
– Imaging: BSUS of breast, Formal US of breast
– Treatments: Motrin, Tylenol, Low threshold for PO keflex/IV ancef
– Consults: Surgery, Consider breast IR consultation for “USP breast aspiration of cyst” if evidence of fluid collection
– Dispo: Pending clinical resolution