Differential Diagnosis for 96-year-old Female Patient with Yellow Secretion from Mouth and History of GERD
- Single most likely diagnosis:
- Gastroesophageal reflux disease (GERD) exacerbation: The patient's history of GERD and the presence of yellow secretion from the mouth could be indicative of an exacerbation of GERD, possibly leading to regurgitation of stomach contents.
- Other Likely diagnoses:
- Aspiration pneumonia: The yellow secretion could be a sign of aspiration of food, liquids, or other substances into the lungs, which is a common issue in elderly patients, especially those with a history of GERD.
- Dental or periodontal infection: Poor dental hygiene or infection in the mouth could cause yellow secretion, and elderly patients may be more prone to such issues due to decreased mobility or difficulty with oral care.
- Sialadenitis (salivary gland infection): Infection of the salivary glands could cause yellow or purulent discharge from the mouth.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
- Pulmonary abscess or lung infection: Although less likely, the yellow secretion could be a sign of a severe lung infection, which would require prompt antibiotic treatment to prevent serious complications.
- Esophageal rupture or perforation: A severe and life-threatening condition that could cause regurgitation of stomach contents, including yellow secretion, and requires immediate medical attention.
- Rare diagnoses:
- Zenker's diverticulum: A rare condition where a pouch forms in the pharynx, potentially causing regurgitation of food and liquids, including yellow secretion.
- Esophageal cancer: Although rare, esophageal cancer could cause regurgitation of stomach contents, including yellow secretion, especially in elderly patients with a history of GERD.