Hormonal issues in 9-year-old

9 years female child, swelling, tenderness and mild pain over left aerolar area since 15 days. DX and Rx please.

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Can be cellulitis or dermatitis.. Give anti-inflammatory,local emollients.

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? GYNECOMASTIA.. ? MASTITIS.. ? HORMONAL.. NEED'S.. CLINICOPATHOLOGICAL EVALUATION WITH.. HORMONAL STUDY..

Mastitis due to harmonal changes or due to child abuse

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Gynaecomastia No treatment required at present Tab Ibuprofen 200mg sos

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Absolutely no treatment required if there is no local rise of temperature. May be due to Thelarchy which is a normal process.

POSSIBLY.... INITIAL. STAGE. OF THELARCHE.... ... WHICH. STARTS. AT. THE. AGE. OF.......8 --12. YRS.....IN. GENERAL

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Treat as abscess Aug 375 tds brufen 200 tds5 days no relief then usg with fnac

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Mastitis

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mastitis tab ibugesic plus half tds tab augmentin 375 mg bid

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Its a case of abscess.antibiotics such as augmentin and ibuprofen 200 tds for 5 days needs to be started.

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