Difference between revisions of "Dysuria"

(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