Dysuria

DDX

  1. UTI
    1. Cystitis
    2. Pyelonephritis
  2. Vaginitis/cervicitis
    1. STI, atrophy, allergy
  3. Urethritis
    1. STI, allergy
  4. Trauma
    1. Vagina, urethra, or bladder
  5. Allergy
    1. Reaction to hygienic product or spermicide
  6. Rectal/colon disorders
    1. Diverticulitis
  7. Nephrolithiasis
  8. Urethral stricture or obstruction
  9. Uterine/bladder/vaginal prolapse
  10. Fistulas
    1. Ileovesicular, urethral, urethrorectal, bladder
  11. Urethral foreign body
    1. Includes urethral stone disease
  12. Urethral diverticulum
  13. Cystocele
  14. Chemical irritation
    1. Spermicides, cleansing douches, feminine hygiene products
  15. Behavioral symptom without detectable pathology
    1. Consider previous rape, sexual abuse
  16. Chronic disorders
    1. Chronic cystitis, chronic urethritis

Source

Tintinalli