Differential Diagnosis
- Single most likely diagnosis
- Pelvic Inflammatory Disease (PID): The combination of lower left abdominal pain, hip pain, and peach-colored vaginal discharge without smell or itching could suggest PID, especially in a young female. The presence of a sore throat and raised glands might indicate a recent infection.
- Other Likely diagnoses
- Endometriosis: This condition could explain the lower abdominal pain, hip pain, and possibly the vaginal discharge, although the discharge characteristics are not typical for endometriosis.
- Ovarian Cyst: Could cause lower abdominal and hip pain, but the vaginal discharge and other symptoms might not directly correlate unless there's an associated infection or rupture.
- Stress-related or Somatization Disorder: Given the recent grief, the patient's physical symptoms could be exacerbated or manifested due to psychological stress.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Ectopic Pregnancy: Although less likely if the patient is not known to be pregnant, an ectopic pregnancy can present with abdominal pain and vaginal bleeding/discharge. It's crucial to rule this out due to its high mortality rate if not promptly treated.
- Appendicitis: Lower abdominal pain can sometimes be a symptom of appendicitis, which requires immediate surgical intervention to prevent rupture and peritonitis.
- Ovarian Torsion: A rare but emergency condition that can cause severe abdominal pain and requires immediate surgical intervention.
- Rare diagnoses
- Tubo-ovarian Abscess: A complication of PID, which could explain the symptoms but is less common and usually presents with more severe symptoms.
- Malignancy (e.g., ovarian cancer): Although rare in young women, any persistent or unexplained symptoms warrant further investigation to rule out cancer.