Differential Diagnosis for a 17-year-old male complaining of pain when urinating, feeling like glass
- Single most likely diagnosis
- Urinary Tract Infection (UTI): This is a common condition that can cause dysuria (painful urination), which might feel like passing glass due to the inflammation and irritation of the urinary tract.
- Other Likely diagnoses
- Kidney Stones (Nephrolithiasis): Small stones can cause severe pain and a feeling of discomfort or sharp pain while urinating, similar to the sensation of passing glass.
- Urethritis: Inflammation of the urethra, often due to infection, can cause painful urination.
- Prostatitis: Inflammation of the prostate gland can lead to painful urination, among other symptoms.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Testicular Torsion: Although it primarily presents with acute testicular pain, it can sometimes cause radiating pain that might be confused with urinary symptoms. It's a medical emergency.
- Epididymitis: Inflammation of the epididymis, which can cause pain and swelling that might be associated with urination discomfort.
- Sepsis from a urinary source: A severe infection that can lead to life-threatening complications if not promptly treated.
- Rare diagnoses
- Interstitial Cystitis: A chronic condition causing bladder pressure, bladder pain, and sometimes painful urination, which could be described in various ways, including a sensation like passing glass.
- Schistosomiasis (in endemic areas): A parasitic infection that can cause urinary symptoms, including painful urination due to the eggs of the parasite causing inflammation in the urinary tract.
- Tuberculosis of the urinary tract: A rare condition in many parts of the world but can cause chronic pain and discomfort during urination among other symptoms.