Differential Diagnosis for 9 yo Male with Hematuria and Dysuria
- Single most likely diagnosis
- Urinary Tract Infection (UTI): The presence of hematuria, dysuria, and erythema at the meatus in an uncircumcised male suggests a UTI, which is a common cause of these symptoms in children.
- Other Likely diagnoses
- Balanitis: Inflammation of the glans penis, which can cause erythema and discomfort, especially in uncircumcised males.
- Urethritis: Inflammation of the urethra, which can cause dysuria and hematuria.
- Phimosis: A condition where the foreskin cannot be fully retracted, which can lead to urinary retention, infection, and inflammation.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Post-Streptococcal Glomerulonephritis (PSGN): A rare but serious complication of streptococcal infection, which can cause hematuria and renal failure.
- Testicular Torsion: A surgical emergency that can cause severe pain, hematuria, and testicular loss if not promptly treated.
- Kidney Stone: Although rare in children, kidney stones can cause severe pain, hematuria, and urinary obstruction.
- Rare diagnoses
- Henoch-Schönlein Purpura (HSP): A systemic vasculitis that can cause hematuria, renal failure, and skin purpura.
- Goodpasture Syndrome: A rare autoimmune disease that can cause hematuria, renal failure, and pulmonary hemorrhage.
- Sickle Cell Disease: A genetic disorder that can cause hematuria, renal failure, and other systemic complications.