Differential Diagnosis for 3-year-old Girl with Vaginal Redness, Burning with Peeing, and Abnormal Urine Analysis
- Single most likely diagnosis
- Urinary Tract Infection (UTI): This is the most likely diagnosis given the symptoms of vaginal redness, burning with urination (dysuria), and the presence of trace hemolyzed blood and protein in the urine analysis. UTIs are common in young girls and can cause these symptoms.
- Other Likely diagnoses
- Vaginal Irritation or Inflammation: This could be due to various factors such as poor hygiene, bubble baths, or tight clothing, leading to irritation and subsequent symptoms.
- Urethral Prolapse: Although less common, urethral prolapse can cause similar symptoms, including dysuria and visible blood.
- Constipation: Chronic constipation can lead to urinary symptoms due to the proximity of the rectum to the urinary tract, causing pressure and irritation.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Sexual Abuse: It is crucial to consider the possibility of sexual abuse in any child presenting with genital symptoms. A thorough and sensitive evaluation is necessary.
- Kidney Stones: Although rare in young children, kidney stones can cause severe pain, bleeding, and urinary symptoms.
- Glomerulonephritis: An inflammation of the kidneys that can follow infections and cause hematuria (blood in urine) and proteinuria (protein in urine).
- Rare diagnoses
- Tuberculosis (TB) of the Urinary Tract: A rare condition that can cause chronic urinary symptoms, including hematuria and proteinuria.
- Interstitial Cystitis: A condition causing bladder pressure, bladder pain, and sometimes pelvic pain, which is rare in children.
- Congenital Anomalies of the Genitourinary Tract: Certain anomalies can lead to urinary tract issues, including obstruction or reflux, which might present with similar symptoms.