Painful nipples, hungry baby

Instructions

You are a medical student on placement in general practice. Your next patient is Adut Mabior, 31, who has brought in her 10-day-old son, Ajak, because her nipples are very painful and he seems hungry all the time.

1. 1

   Take a focused history

2. 2

   Perform a focused examination

3. 3

   Outline to the examiner:

   • Your most likely diagnosis
   • Next steps in management

• You do not need to summarise your findings
• The baby is represented by a doll
• Please verbalise your examination; findings will be provided on request