Differential Diagnosis for 26 Year Old Female with Microscopic Hematuria, Urinary Frequency, and Pelvic Soreness
- Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): This is the most common cause of microscopic hematuria, urinary frequency, and pelvic soreness in a young female. The symptoms are classic for a lower urinary tract infection, such as cystitis.
- Other Likely Diagnoses
- Interstitial Cystitis: A condition characterized by chronic inflammation of the bladder, leading to symptoms such as urinary frequency, pelvic pain, and sometimes microscopic hematuria.
- Kidney Stones: Although less common in young females, kidney stones can cause microscopic hematuria, urinary frequency, and pelvic soreness due to the stone's movement through the urinary tract.
- Overactive Bladder: A condition that can cause urinary frequency and urgency, and may be associated with pelvic soreness, although hematuria is less common.
- Do Not Miss Diagnoses
- Bladder Cancer: Although rare in young females, bladder cancer can present with microscopic hematuria and pelvic soreness. It is essential to rule out this diagnosis, especially if the patient has a history of smoking or exposure to certain chemicals.
- Tuberculosis of the Urinary Tract: A rare but serious infection that can cause microscopic hematuria, urinary frequency, and pelvic soreness. It is essential to consider this diagnosis, especially if the patient has a history of exposure to tuberculosis.
- Sickle Cell Disease or Sickle Cell Trait: These conditions can cause microscopic hematuria due to sickling of red blood cells in the kidneys. It is essential to consider this diagnosis, especially if the patient has a family history of sickle cell disease.
- Rare Diagnoses
- Endometriosis: A condition where tissue similar to the lining of the uterus grows outside the uterus, leading to pelvic pain and sometimes microscopic hematuria if the endometrial tissue involves the urinary tract.
- Schistosomiasis: A parasitic infection that can cause microscopic hematuria and pelvic soreness, although it is rare in developed countries.
- Arteriovenous Malformation (AVM) of the Kidney or Bladder: A rare vascular anomaly that can cause microscopic hematuria and pelvic soreness due to abnormal blood flow.