Differential Diagnosis for Premenstrual Cramps with Hematuria, Proteinuria, LLQ Abdominal Pain, and Appearance of Being Ill
- Single Most Likely Diagnosis
- Ovarian Cyst or Torsion: This condition can cause lower left quadrant (LLQ) abdominal pain, and if the cyst ruptures, it may lead to hematuria and proteinuria due to the irritation of the surrounding tissues and potential involvement of the urinary tract. The appearance of being ill could be due to the severe pain and potential infection.
- Other Likely Diagnoses
- Urinary Tract Infection (UTI) or Pyelonephritis: These conditions can cause LLQ abdominal pain, hematuria, and proteinuria. The appearance of being ill could be due to the systemic infection.
- Kidney Stone: A stone in the left ureter could cause LLQ abdominal pain, hematuria, and proteinuria. The severe pain could lead to an appearance of being ill.
- Diverticulitis: Inflammation of the diverticula in the colon can cause LLQ abdominal pain, and if the diverticula rupture, it may lead to hematuria and proteinuria due to the involvement of the surrounding tissues.
- Do Not Miss Diagnoses
- Ectopic Pregnancy: Although less likely if the patient is experiencing premenstrual cramps, an ectopic pregnancy can cause LLQ abdominal pain, hematuria, and proteinuria. This condition is life-threatening and requires immediate attention.
- Appendicitis: Although the pain is typically in the right lower quadrant, appendicitis can occasionally present with LLQ pain. This condition can lead to severe complications if not treated promptly.
- Sepsis: Any infection, including UTI or diverticulitis, can lead to sepsis, a life-threatening condition that requires immediate attention.
- Rare Diagnoses
- Endometriosis: Although endometriosis can cause cyclic abdominal pain, it is less likely to cause hematuria and proteinuria. However, in rare cases, endometriosis can involve the urinary tract and cause these symptoms.
- Vasculitis: Certain types of vasculitis, such as IgA nephropathy, can cause hematuria and proteinuria. However, these conditions are rare and would typically require additional symptoms and laboratory findings for diagnosis.