Differential Diagnosis for Hematuria in a Pregnant Female
The following differential diagnosis is organized into categories to help guide the thought process:
- Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): This is a common cause of hematuria in pregnant women, and the risk of UTI increases during pregnancy due to physiological changes.
- Other Likely Diagnoses
- Kidney Stones: Pregnancy increases the risk of kidney stones due to increased urine concentration and urinary stasis.
- Cystitis or Pyelonephritis: Inflammation of the bladder or kidneys can cause hematuria and is more common in pregnant women.
- Trauma: Minor trauma to the urinary tract during pregnancy can cause hematuria.
- Do Not Miss Diagnoses
- Placenta Previa: Although less common, this condition can cause painless vaginal bleeding, which may be accompanied by hematuria.
- Uterine Rupture: A life-threatening condition that can cause hematuria, although it is rare.
- Renal Vein Thrombosis: A rare but potentially life-threatening condition that can cause hematuria, especially in women with nephrotic syndrome or other renal diseases.
- Rare Diagnoses
- Glomerulonephritis: An inflammation of the glomeruli that can cause hematuria, but is less common in pregnant women.
- Renal Cell Carcinoma: A rare cause of hematuria in pregnant women, but should be considered in the differential diagnosis.
- Ureteral or Bladder Cancer: Although rare, these conditions can cause hematuria and should not be overlooked.
Each diagnosis has a brief justification to explain why it is included in the differential diagnosis. The Single Most Likely Diagnosis is based on the common causes of hematuria in pregnant women, while the Other Likely Diagnoses include conditions that are also common but may have different underlying causes. The Do Not Miss Diagnoses are potentially life-threatening conditions that may not be as common but require prompt attention. The Rare Diagnoses are included to ensure that all possible causes of hematuria are considered, even if they are less likely.