Differential Diagnosis for 82 yo on Coumadin with Hematuria, Urgency, Dysuria, and Frequency
- Single most likely diagnosis
- Urinary Tract Infection (UTI): The patient's symptoms of urgency, dysuria, and frequency are classic for a UTI, which is a common condition in the elderly. The presence of hematuria also supports this diagnosis, as UTIs can cause bleeding in the urinary tract.
- Other Likely diagnoses
- Bleeding Cystitis: The patient is on Coumadin, which increases the risk of bleeding. Bleeding cystitis, or bleeding from the bladder lining, could explain the hematuria and other urinary symptoms.
- Kidney Stones: Although less likely than a UTI, kidney stones could cause the patient's symptoms, including hematuria, urgency, dysuria, and frequency.
- Do Not Miss diagnoses
- Bladder Cancer: Although less common, bladder cancer is a potentially life-threatening condition that can cause hematuria and other urinary symptoms. It is especially important to consider in an elderly patient with hematuria.
- Sepsis from a UTI: If the patient's UTI is severe or has spread to the bloodstream, it could lead to sepsis, a life-threatening condition that requires prompt treatment.
- Rare diagnoses
- Interstitial Cystitis: This is a chronic condition that causes bladder pressure, bladder pain, and sometimes pelvic pain. Although it is less likely, it could explain some of the patient's symptoms.
- Arteriovenous Malformation (AVM) or other vascular anomalies: These rare conditions could cause bleeding in the urinary tract, but they are unlikely and would require further imaging to diagnose.