Differential Diagnosis for Left Hydroureteronephrosis and Urinalysis Results
- Single Most Likely Diagnosis
- Urinary tract infection (UTI) with ureteral obstruction: The presence of bacteria and blood in the urine, along with the finding of a 2mm calculus at the left ureterovesical junction, suggests a UTI complicated by a ureteral obstruction. The obstruction is likely causing the hydroureteronephrosis.
- Other Likely Diagnoses
- Ureteral stone with associated inflammation: The 2mm calculus could be causing inflammation and irritation in the ureter, leading to the blood and bacteria in the urine.
- Pyelonephritis: The presence of bacteria and blood in the urine, along with the hydroureteronephrosis, could indicate an infection of the kidney (pyelonephritis).
- Do Not Miss Diagnoses
- Ureteral tumor or cancer: Although less likely, a tumor or cancer in the ureter could be causing the obstruction and hydroureteronephrosis. This diagnosis would have significant implications for treatment and prognosis.
- Septic shock or urosepsis: If the UTI is severe and untreated, it could lead to septic shock or urosepsis, which are life-threatening conditions.
- Rare Diagnoses
- Tuberculosis of the urinary tract: This is a rare condition that could cause similar symptoms, including hematuria and urinary tract obstruction.
- Sarcoidosis or other granulomatous diseases: These conditions could cause inflammation and obstruction in the urinary tract, although they are relatively rare.
- Foreign body in the ureter: Although unlikely, a foreign body in the ureter could cause obstruction and hydroureteronephrosis.