Differential Diagnosis for 58yo Male with Dysuria, 1+ Blood, Trace Protein, 3+ Leuk
- Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): The presence of dysuria, hematuria (1+ blood), and significant leukocyturia (3+ leuk) strongly suggests a UTI, which is a common condition in adults and can be caused by bacterial infection.
- Other Likely Diagnoses
- Prostatitis: Given the patient's age and symptoms, prostatitis is a plausible diagnosis. It can cause dysuria, hematuria, and leukocyturia, especially if the prostate is involved.
- Kidney Stones: Although not directly indicated by the lab results, kidney stones can cause dysuria and hematuria. The presence of leukocyturia might suggest an associated infection.
- Interstitial Cystitis: This condition can cause dysuria and hematuria, but it typically presents with more chronic symptoms and might not fully explain the significant leukocyturia.
- Do Not Miss Diagnoses
- Bladder Cancer: Although less likely, bladder cancer can present with hematuria and should be considered, especially in older adults. It's crucial to investigate hematuria thoroughly to rule out malignancy.
- Pyelonephritis: An infection of the kidney, which can present with similar symptoms to a UTI but may have more severe consequences if not promptly treated.
- Sepsis (from a urinary source): In rare cases, a UTI can lead to sepsis, a life-threatening condition that requires immediate attention.
- Rare Diagnoses
- Tuberculosis of the Urinary Tract: This can cause chronic symptoms including hematuria and leukocyturia, but it is less common in areas with low TB prevalence.
- Schistosomiasis: A parasitic infection that can cause hematuria, more commonly seen in travelers to or immigrants from endemic areas.
- Vasculitis affecting the urinary tract: Conditions like IgA vasculitis can cause hematuria and leukocyturia, but these are rare and usually present with other systemic symptoms.