What is the most likely diagnosis for a 40-year-old woman suffering from dysuria, severe frequency, nocturia, urgency, suprapubic pain, deep dyspareunia, and petechial hemorrhage o... What is the most likely diagnosis for a 40-year-old woman suffering from dysuria, severe frequency, nocturia, urgency, suprapubic pain, deep dyspareunia, and petechial hemorrhage observed during cystoscopy?
Understand the Problem
The question presents a clinical case with symptoms and investigation results, asking for the most likely medical diagnosis based on the information provided. It involves analyzing the symptoms and history of treatments to correlate with the possible diagnoses listed.
Answer
Interstitial cystitis (bladder pain syndrome).
The most likely diagnosis is interstitial cystitis, also known as bladder pain syndrome.
Answer for screen readers
The most likely diagnosis is interstitial cystitis, also known as bladder pain syndrome.
More Information
Symptoms of interstitial cystitis include pelvic pain, urinary urgency/frequency, nocturia, and dyspareunia. Cystoscopy may show petechial hemorrhages.
Tips
Confusing interstitial cystitis with a simple urinary tract infection is common. It is important to consider symptoms like chronic pain and biopsy results.
Sources
- Differentiating interstitial cystitis from similar conditions commonly - pubmed.ncbi.nlm.nih.gov
- Diagnosis and Treatment of Interstitial Cystitis/Bladder Pain - auanet.org
- Interstitial Cystitis/Bladder Pain Syndrome - Cleveland Clinic - my.clevelandclinic.org
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