Differential Diagnosis for 76 year old female with green vaginal discharge
- Single most likely diagnosis
- Bacterial Vaginosis (BV): This is the most common cause of abnormal vaginal discharge in women of all ages, including the elderly. The green color of the discharge could be indicative of an overgrowth of anaerobic bacteria, which is characteristic of BV.
- Other Likely diagnoses
- Trichomoniasis: This sexually transmitted infection can cause a greenish, frothy vaginal discharge. Although less common in elderly women, it's still a possibility, especially if the patient is sexually active.
- Vulvovaginal Candidiasis: While typically associated with a white, cottage cheese-like discharge, some cases of candidiasis can produce a greenish tint, especially if there's a mixed infection.
- Atrophic Vaginitis: This condition, common in postmenopausal women, can cause a thin, watery discharge that may appear greenish due to the presence of blood or other substances.
- Do Not Miss diagnoses
- Cervical Cancer: Although rare, cervical cancer can cause abnormal vaginal bleeding or discharge, which may appear greenish. It's crucial to rule out this possibility, especially if the patient has a history of abnormal Pap smears or has never been screened.
- Pelvic Inflammatory Disease (PID): PID can cause a range of symptoms, including abnormal vaginal discharge, and can be life-threatening if left untreated.
- Foreign Body: A retained foreign body, such as a tampon or condom, can cause a foul-smelling, greenish discharge.
- Rare diagnoses
- Gonorrhea or Chlamydia: These sexually transmitted infections can cause abnormal vaginal discharge, but are less common in elderly women.
- Tuberculosis: Genital tuberculosis can cause a range of symptoms, including abnormal vaginal discharge, but is relatively rare in developed countries.
- Vaginal Cancer: Primary vaginal cancer is a rare malignancy that can cause abnormal vaginal bleeding or discharge, which may appear greenish.