"Running head: WEEK4 CASE STUDY 4 NAME 1Week4 Case Study 4NameInstitution WEEK4 CASE STUDY 4 NAME 2Further Historical ExaminationIn the process of ensuring that appropriate health care is provided to the patient, it isimperative to conduct the overall historical examination without making assumptions andpresumptions of possible illness. That is despite the fact that the already provided physical andhistorical examination outcomes may influence a series of differential diagnostics. Below is anoverview of the possible questions that could be asked regarding the history of the patient. Allergies: Is Kayla allergic to any types of foods or drugs? The general attributes: Is there any change in the weight? Are the condition and the hair healthstatus still the same as before? Are there any forms of Virginal discharges recently? HEENTEyes: is there any change in the color of the eyes? Any form of discharge experienced in the lastfew days? Ears: Any internal pains experienced, maybe because of a mild headache? Nose: Any Nasal Discharge? Any Pains experienced from within the nose? Mouth: Any pains or change in the color of the tongue? Any irregular discharge of mouth fluidssuch as saliva? Does the mouth depict any dryness? Chest: Any unusual pains experienced? Genitourinary: Are you experiencing any challenges urinating? Any cases of unusual discharge?Any known history of sex partners as far as their health condition is concerned?WEEK4 CASE STUDY 4 NAME 3Differential DiagnosisFibrocystic breast disease: (ICD-9-CM Code 610.1)The Fibrocystic breast disease in one noncancerous health condition where a womanexperiences breast pains. At times, these pains are caused by some painful lumps in the breasts(Cho & Park, 2013). Usually, this condition is affiliated with hormonal changes and may not bethat serious. However, the illness may be a depiction of increased risk of cancer (Hormones &Group, 2013). Some of the common symptoms that are affiliated with this fibrocystic conditioninclude the swelling or thickening of one or both breasts. The breasts tend to vary in size, andthey gain a characteristic of tenderness and pain. Further, the health condition is characterized byother symptoms such as itching, sharp pains, and burning. The menstrual cycle also changes andbecomes irregular. Thus, these hormones lead to increased hormones in the breasts. Vaginitis: (ICD-10-CM Code N76.0)The vaginitis health condition is considered to be one amongst the most commonambulatory health issues amongst women. It is related to the inflammation of the vagina,possibly because of some infections either bacterial or viral amongst others (Kenyon & Osbak,2014). Usually, the victims tend to experience some irritation along the vulva. A patientsuffering this health condition is likely to experience some sense of discomfort. Later, there is alikelihood of reddening of the genital areas. Mastalgia-Breast Pain: (ICD-10-CM Code N64.4The health condition is termed as the generalized breast pain that is affiliated withtenderness. As such, the dominant symptoms include tender breasts, painful breast and evensome changes in the menstrual cycles (Murshid, 2011). Usually, the chest cavity may also result WEEK4 CASE STUDY 4 NAME 4in the breast pain. That is termed to as the arthritic pain within the chest cavity, as well as, theneck. There are very rare cases of vaginal pains not unless they are related to the menstrualcycles. Rationale for the diagnoses The choice of these diagnoses is influenced by the fact that the symptoms are highlyaffiliated with the outcomes of the physical and historical examination conducted on the patient.Most importantly, there is a very minimal probability that the patient is suffering from cancer asmany may perceive considering that the patient is experiencing breast pains (Senkus et.al, 2013).Breast cancer is not affiliated to breast pains. The diagnosis provided are strictly affiliated withbreast pain apart from vaginitis that mainly focuses on the itching and fatigue symptoms. WEEK4 CASE STUDY 4 NAME 5ReferencesMurshid, K. R. (2011). A review of mastalgia in patients with fibrocystic breast changes and thenon-surgical treatment options. Journal of Taibah University Medical Sciences, 6(1), 1- 18.Kenyon, C. R., & Osbak, K. (2014). Recent progress in understanding the epidemiology ofbacterial vaginosis. Current Opinion in Obstetrics and Gynecology, 26(6), 448-454.Cho, S. H., & Park, S. H. (2013). Mimickers of breast malignancy on breast sonography. Journalof Ultrasound in Medicine, 32(11), 2029-2036.Senkus, E., Kyriakides, S., Penault-Llorca, F., Poortmans, P., Thompson, A., Zackrisson, S., &Cardoso, F. (2013). Primary breast cancer: ESMO Clinical Practice Guidelines fordiagnosis, treatment and follow-up. Annals of Oncology, mdt284.Hormones, E., & Group, B. C. C. (2013). Sex hormones and risk of breast cancer inpremenopausal women: a collaborative reanalysis of individual participant data fromseven prospective studies. The lancet oncology, 14(10), 1009-1019. "