Dysuria: Difference between revisions

(Created page with "==DDX== #UTI ##Cystitis ##Pyelonephritis #Vaginitis/cervicitis ##STI, atrophy, allergy #Urethritis ##STI, allergy #Trauma ##Vagina, urethra, or bladder #Allergy ##Reaction to hyg...")
 
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==DDX==
==Background==
#UTI
*Painful urination
##Cystitis
**due to inflammation of urethra, bladder, or prostate
##Pyelonephritis
*Dysuria is uncommonly used to describe difficult urination
#Vaginitis/cervicitis
##STI, atrophy, allergy
#Urethritis
##STI, allergy
#Trauma
##Vagina, urethra, or bladder
#Allergy
##Reaction to hygienic product or spermicide
#Rectal/colon disorders
##Diverticulitis
#Nephrolithiasis
#Urethral stricture or obstruction
#Uterine/bladder/vaginal prolapse
#Fistulas
##Ileovesicular, urethral, urethrorectal, bladder
#Urethral foreign body
##Includes urethral stone disease
#Urethral diverticulum
#Cystocele
#Chemical irritation
##Spermicides, cleansing douches, feminine hygiene products
#Behavioral symptom without detectable pathology
##Consider previous rape, sexual abuse
#Chronic disorders
##Chronic cystitis, chronic urethritis


==Source==
==Clinical Features==
Tintinalli
*Pain with urination
*Additional features dependent on underlying cause


[[Category:GU]]
==Differential Diagnosis==
{{Dysuria DDX}}
 
==Evaluation==
*[[UA]]
 
===Men===
*Men <50 yr: symptoms usually due to [[STI]]
*Men >50 yr: incidence of [[acute cystitis]] rises dramatically due to prostatic obstruction
 
==Management==
 
==Disposition==
 
==See Also==
 
==References==
<references/>
 
 
[[Category:Urology]]

Latest revision as of 21:05, 4 October 2016

Background

  • Painful urination
    • due to inflammation of urethra, bladder, or prostate
  • Dysuria is uncommonly used to describe difficult urination

Clinical Features

  • Pain with urination
  • Additional features dependent on underlying cause

Differential Diagnosis

Dysuria

Evaluation

Men

  • Men <50 yr: symptoms usually due to STI
  • Men >50 yr: incidence of acute cystitis rises dramatically due to prostatic obstruction

Management

Disposition

See Also

References