Causes of Dysuria - Differential Diagnosis Algorithm
Pyuria - Leukocytes on Dipstick/Microscopy
- Bacteriuria & Hematuria - Dipstick positive for nitrites (if infected with enterobacteria).
• Upper Urinary Tract Infection/Pyelonephritis - WBC Casts
• Lower Urinary Tract Infection/Cystitis - WBC Clumps
- No Bacteriuria & No Hematuria - Dipstick negative for nitrites.
• Gonococcal
• Non-Gonococcal (e.g. Chlamydia, Trichomonas)
No Pyuria - No Leukocytes on Dipstick/Microscopy
- Urethritis
• Candida
• Herpes Simplex Virus
- Vaginitis
• Candida
• Gardnerella
• Neoplasm
- Non-Pathogenic
• Estrogen deficiency
• Interstitial cystitis
• Radiation cystitis
#Dysuria #Differential #Diagnosis #Algorithm #Causes
