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Differential Diagnosis for UTI in Teenage Female

Single Most Likely Diagnosis

  • Uncomplicated Cystitis: This is the most common diagnosis for a teenage female presenting with symptoms of a UTI, such as dysuria, frequency, and urgency. The majority of cases are caused by Escherichia coli (E. coli).

Other Likely Diagnoses

  • Pyelonephritis: An upper urinary tract infection that can present with symptoms such as flank pain, fever, and chills, in addition to the typical symptoms of cystitis.
  • Vaginitis: Inflammation of the vagina, which can cause symptoms similar to those of a UTI, such as dysuria and discharge. Common causes include bacterial vaginosis, yeast infections, and trichomoniasis.
  • Sexually Transmitted Infections (STIs): Such as chlamydia and gonorrhea, which can cause symptoms similar to those of a UTI, including dysuria and discharge.

Do Not Miss Diagnoses

  • Kidney Stones: Although less common, kidney stones can cause severe pain and potentially lead to complications such as obstruction and infection.
  • Sepsis: A life-threatening condition that can occur if a UTI is left untreated or if the infection spreads to the bloodstream.
  • Pregnancy-Related Complications: Although less common in teenagers, it's essential to consider the possibility of pregnancy and related complications, such as ectopic pregnancy or miscarriage, which can present with similar symptoms.

Rare Diagnoses

  • Tuberculosis (TB) of the Urinary Tract: A rare but potentially serious infection that can cause symptoms similar to those of a UTI, including dysuria and frequency.
  • Interstitial Cystitis: A chronic condition characterized by bladder pain and frequency, which can be difficult to diagnose and treat.
  • Urinary Tract Anomalies: Such as ureteropelvic junction obstruction or vesicoureteral reflux, which can increase the risk of UTIs and other complications.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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