Differential Diagnosis for Hematuria in Adolescent Male after Tooth Extraction
- Single most likely diagnosis
- Hemophilia or other coagulopathy: This is a likely diagnosis given the recent history of tooth extraction, which can cause bleeding. Hemophilia is a genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding.
- Other Likely diagnoses
- Trauma to the urinary tract: The physical stress of tooth extraction could potentially cause minor trauma to the urinary tract, leading to hematuria.
- Urinary tract infection (UTI): Although less common in adolescent males, a UTI could cause hematuria and may not be directly related to the tooth extraction.
- Kidney stones: While not directly related to tooth extraction, kidney stones could cause hematuria and are a possible diagnosis in this age group.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Sickle cell disease or trait with sickle cell crisis: Although less common, sickle cell disease can cause hematuria due to sickling in the kidney. It's crucial to consider this diagnosis due to its potential severity.
- Renal vein thrombosis: This is a rare but potentially life-threatening condition that could cause hematuria. It's more common in patients with underlying conditions like nephrotic syndrome or dehydration.
- Testicular or scrotal trauma: If the patient experienced any trauma to the testicles or scrotum, it could potentially cause hematuria due to the rich blood supply in this area.
- Rare diagnoses
- Goodpasture syndrome: A rare autoimmune disease that can cause hematuria due to antibodies attacking the kidneys and lungs.
- Alport syndrome: A genetic disorder that affects the type IV collagen in the kidneys, ears, and eyes, leading to hematuria and potentially progressive kidney disease.
- Nutcracker phenomenon: A rare condition where the left renal vein is compressed between the aorta and the superior mesenteric artery, potentially causing hematuria.