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Further Historical Examination

In the process of ensuring that appropriate health care is provided to the patient, it is imperative to conduct the overall historical examination without making assumptions and presumptions of possible illness. That is despite the fact that the already provided physical and historical examination outcomes may influence a series of differential diagnostics. Below is an overview 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 health status still the same as before? Are there any forms of Virginal discharges recently?

HEENT

Eyes: is there any change in the color of the eyes? Any form of discharge experienced in the last few 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 fluids such 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?

Differential Diagnosis

Fibrocystic breast disease: (ICD-9-CM Code 610.1)

The Fibrocystic breast disease in one noncancerous health condition where a woman experiences 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 be that 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 condition include the swelling or thickening of one or both breasts. The breasts tend to vary in size, and they gain a characteristic of tenderness and pain. Further, the health condition is characterized by other symptoms such as itching, sharp pains, and burning. The menstrual cycle also changes and becomes 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 common ambulatory 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 patient suffering this health condition is likely to experience some sense of discomfort. Later, there is a likelihood of reddening of the genital areas.

Mastalgia-Breast Pain: (ICD-10-CM Code N64.4

The health condition is termed as the generalized breast pain that is affiliated with tenderness. As such, the dominant symptoms include tender breasts, painful breast and even some changes in the menstrual cycles (Murshid, 2011). Usually, the chest cavity may also result in the breast pain. That is termed to as the arthritic pain within the chest cavity, as well as, the neck. There are very rare cases of vaginal pains not unless they are related to the menstrual cycles.

Rationale for the diagnoses

The choice of these diagnoses is influenced by the fact that the symptoms are highly affiliated 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 as many 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 with breast pain apart from vaginitis that mainly focuses on the itching and fatigue symptoms. 

References

Murshid, K. R. (2011). A review of mastalgia in patients with fibrocystic breast changes and the non-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 of bacterial 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. Journal of 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 for diagnosis, treatment and follow-up. Annals of Oncology, mdt284.

Hormones, E., & Group, B. C. C. (2013). Sex hormones and risk of breast cancer in premenopausal women: a collaborative reanalysis of individual participant data from seven prospective studies. The lancet oncology, 14(10), 1009-1019.

Further Historical Examination

In the process of ensuring that appropriate health care is provided to the patient, it is imperative to conduct the overall historical examination without making assumptions and presumptions of possible illness. That is despite the fact that the already provided physical and historical examination outcomes may influence a series of differential diagnostics. Below is an overview 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 health status still the same as before? Are there any forms of Virginal discharges recently?

HEENT

Eyes: is there any change in the color of the eyes? Any form of discharge experienced in the last few 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 fluids such 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?

Differential Diagnosis

Fibrocystic breast disease: (ICD-9-CM Code 610.1)

The Fibrocystic breast disease in one noncancerous health condition where a woman experiences 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 be that 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 condition include the swelling or thickening of one or both breasts. The breasts tend to vary in size, and they gain a characteristic of tenderness and pain. Further, the health condition is characterized by other symptoms such as itching, sharp pains, and burning. The menstrual cycle also changes and becomes 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 common ambulatory 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 patient suffering this health condition is likely to experience some sense of discomfort. Later, there is a likelihood of reddening of the genital areas.

Mastalgia-Breast Pain: (ICD-10-CM Code N64.4

The health condition is termed as the generalized breast pain that is affiliated with tenderness. As such, the dominant symptoms include tender breasts, painful breast and even some changes in the menstrual cycles (Murshid, 2011). Usually, the chest cavity may also result in the breast pain. That is termed to as the arthritic pain within the chest cavity, as well as, the neck. There are very rare cases of vaginal pains not unless they are related to the menstrual cycles.

Rationale for the diagnoses

The choice of these diagnoses is influenced by the fact that the symptoms are highly affiliated 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 as many 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 with breast pain apart from vaginitis that mainly focuses on the itching and fatigue symptoms. 

References

Murshid, K. R. (2011). A review of mastalgia in patients with fibrocystic breast changes and the non-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 of bacterial 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. Journal of 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 for diagnosis, treatment and follow-up. Annals of Oncology, mdt284.

Hormones, E., & Group, B. C. C. (2013). Sex hormones and risk of breast cancer in premenopausal women: a collaborative reanalysis of individual participant data from seven prospective studies. The lancet oncology, 14(10), 1009-1019.

Further Historical Examination

In the process of ensuring that appropriate health care is provided to the patient, it is imperative to conduct the overall historical examination without making assumptions and presumptions of possible illness. That is despite the fact that the already provided physical and historical examination outcomes may influence a series of differential diagnostics. Below is an overview 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 health status still the same as before? Are there any forms of Virginal discharges recently?

HEENT

Eyes: is there any change in the color of the eyes? Any form of discharge experienced in the last few 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 fluids such 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?

Differential Diagnosis

Fibrocystic breast disease: (ICD-9-CM Code 610.1)

The Fibrocystic breast disease in one noncancerous health condition where a woman experiences 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 be that 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 condition include the swelling or thickening of one or both breasts. The breasts tend to vary in size, and they gain a characteristic of tenderness and pain. Further, the health condition is characterized by other symptoms such as itching, sharp pains, and burning. The menstrual cycle also changes and becomes 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 common ambulatory 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 patient suffering this health condition is likely to experience some sense of discomfort. Later, there is a likelihood of reddening of the genital areas.

Mastalgia-Breast Pain: (ICD-10-CM Code N64.4

The health condition is termed as the generalized breast pain that is affiliated with tenderness. As such, the dominant symptoms include tender breasts, painful breast and even some changes in the menstrual cycles (Murshid, 2011). Usually, the chest cavity may also result in the breast pain. That is termed to as the arthritic pain within the chest cavity, as well as, the neck. There are very rare cases of vaginal pains not unless they are related to the menstrual cycles.

Rationale for the diagnoses

The choice of these diagnoses is influenced by the fact that the symptoms are highly affiliated 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 as many 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 with breast pain apart from vaginitis that mainly focuses on the itching and fatigue symptoms. 

References

Murshid, K. R. (2011). A review of mastalgia in patients with fibrocystic breast changes and the non-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 of bacterial 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. Journal of 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 for diagnosis, treatment and follow-up. Annals of Oncology, mdt284.

Hormones, E., & Group, B. C. C. (2013). Sex hormones and risk of breast cancer in premenopausal women: a collaborative reanalysis of individual participant data from seven prospective studies. The lancet oncology, 14(10), 1009-1019.

Further Historical Examination

In the process of ensuring that appropriate health care is provided to the patient, it is imperative to conduct the overall historical examination without making assumptions and presumptions of possible illness. That is despite the fact that the already provided physical and historical examination outcomes may influence a series of differential diagnostics. Below is an overview 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 health status still the same as before? Are there any forms of Virginal discharges recently?

HEENT

Eyes: is there any change in the color of the eyes? Any form of discharge experienced in the last few 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 fluids such 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?

Differential Diagnosis

Fibrocystic breast disease: (ICD-9-CM Code 610.1)

The Fibrocystic breast disease in one noncancerous health condition where a woman experiences 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 be that 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 condition include the swelling or thickening of one or both breasts. The breasts tend to vary in size, and they gain a characteristic of tenderness and pain. Further, the health condition is characterized by other symptoms such as itching, sharp pains, and burning. The menstrual cycle also changes and becomes 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 common ambulatory 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 patient suffering this health condition is likely to experience some sense of discomfort. Later, there is a likelihood of reddening of the genital areas.

Mastalgia-Breast Pain: (ICD-10-CM Code N64.4

The health condition is termed as the generalized breast pain that is affiliated with tenderness. As such, the dominant symptoms include tender breasts, painful breast and even some changes in the menstrual cycles (Murshid, 2011). Usually, the chest cavity may also result in the breast pain. That is termed to as the arthritic pain within the chest cavity, as well as, the neck. There are very rare cases of vaginal pains not unless they are related to the menstrual cycles.

Rationale for the diagnoses

The choice of these diagnoses is influenced by the fact that the symptoms are highly affiliated 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 as many 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 with breast pain apart from vaginitis that mainly focuses on the itching and fatigue symptoms. 

References

Murshid, K. R. (2011). A review of mastalgia in patients with fibrocystic breast changes and the non-surgical treatment options. Journal of Taibah University Medical Sciences, 6(1), 1-18.

Journal of Taibah University Medical Sciences 6

Kenyon, C. R., & Osbak, K. (2014). Recent progress in understanding the epidemiology of bacterial vaginosis. Current Opinion in Obstetrics and Gynecology, 26(6), 448-454.

Current Opinion in Obstetrics and Gynecology 26

Cho, S. H., & Park, S. H. (2013). Mimickers of breast malignancy on breast sonography. Journal of Ultrasound in Medicine, 32(11), 2029-2036.

Journal of Ultrasound in Medicine 32

Senkus, E., Kyriakides, S., Penault-Llorca, F., Poortmans, P., Thompson, A., Zackrisson, S., & Cardoso, F. (2013). Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of Oncology, mdt284.

Annals of Oncology

Hormones, E., & Group, B. C. C. (2013). Sex hormones and risk of breast cancer in premenopausal women: a collaborative reanalysis of individual participant data from seven prospective studies. The lancet oncology, 14(10), 1009-1019.

The lancet oncology 14

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