DYSURIA

Dysuria Urinalysis Urine cultures Normal Genitourinary Exam Urine Culture Positive → Urinary Tract Infection Upper Urinary Tract Infection/Pyelonephritis Fever, other systemic symptoms Causes: Bacterial Candida Sexually Transmitted Infections Lower Urinary Tract Infection/Cystitis No fever, otherwise well Causes: Bacterial Candida Sexually Transmitted Infections Urine Culture Negative → Further urine studies warranted Viral infection Inflammatory (e.g., Kawasaki Disease) Nephrolithiasis Abnormal Genitourinary Exam Vesicles or Ulcers Sexually Transmitted Infections Infectious (e.g., HSV, CMV) Systemic inflammatory illness (e.g., Stevens-Johnson syndrome) Autoimmune conditions (e.g., Inflammatory bowel disease, Behçet’s disease) No Vesicles or Ulcers Vulvovaginitis (e.g., Group A Streptococcus infection, candida infection, irritation) Balanitis Phimosis Labial adhesions Anatomic (e.g., Trauma, chemical irritation, foreign body) Dermatologic (Contact dermatitis, lichen planus, psoriasis, inflammatory skin conditions) *Indicates Key Condition This is not an exhaustive list of medical conditions.