Looking for opinions on what this lump might be.
I saw a woman in my WIC clinic yesterday that presented with moderate
engorgement and a golf ball sized lump.  Over the phone it had sounded
like a plugged duct and several medical professionals brushed her off as
well (from phone description).  However I was very surprised when I saw
it.  It isn't really on the breast it is under the armpit.  More like a
swollen lymphnode. It is tender and sore. Did not appear to be hard but
I did not palpate it.  I let her pump a bit to relieve engorgement while
she was there, told her to make sure she nurses every two hours and to
try various positions.  I explained about heat prior to nursing and ice
inbetween to relieve swelling. And then referred her to her OB for
evaluation.  Did I do OK or am I missing something.
--
Warmllly, Ilene
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