Prostate cancer differential diagnosis: Difference between revisions

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__NOTOC__
__NOTOC__
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Prostate_cancer]]
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Prostate_cancer]]
{{CMG}} {{AE}} {{sali}}
{{CMG}} {{AE}} {{sali}} {{HK}} {{ADS}}  
==Overview==
==Overview==
Prostate cancer must be differentiated from [[benign prostatic hypertrophy]], [[renal cancer]], [[renal stones]], [[bladder cancer]], and [[cystitis]].
Prostate cancer must be differentiated from [[benign prostatic hypertrophy]], [[renal cancer]], [[renal stones]], [[bladder cancer]], and [[cystitis]].


==Differential diagnosis==
==Differential diagnosis==
Prostate cancer must be differentiated from:
Prostate cancer must be differentiated from:<ref name="pmid18486720">{{cite journal |vauthors=Worcester EM, Coe FL |title=Nephrolithiasis |journal=Prim. Care |volume=35 |issue=2 |pages=369–91, vii |date=June 2008 |pmid=18486720 |pmc=2518455 |doi=10.1016/j.pop.2008.01.005 |url=}}</ref><ref name="pmid21789078">{{cite journal |vauthors=Semins MJ, Matlaga BR |title=Medical evaluation and management of urolithiasis |journal=Ther Adv Urol |volume=2 |issue=1 |pages=3–9 |date=February 2010 |pmid=21789078 |pmc=3126068 |doi=10.1177/1756287210369121 |url=}}</ref><ref name="pmid28764263">{{cite journal |vauthors=Venkatesh L, Hanumegowda RK |title=Acute Pyelonephritis - Correlation of Clinical Parameter with Radiological Imaging Abnormalities |journal=J Clin Diagn Res |volume=11 |issue=6 |pages=TC15–TC18 |date=June 2017 |pmid=28764263 |pmc=5535453 |doi=10.7860/JCDR/2017/27247.10033 |url=}}</ref><ref name="pmid17375337">{{cite journal |vauthors=Garin EH, Olavarria F, Araya C, Broussain M, Barrera C, Young L |title=Diagnostic significance of clinical and laboratory findings to localize site of urinary infection |journal=Pediatr. Nephrol. |volume=22 |issue=7 |pages=1002–6 |date=July 2007 |pmid=17375337 |doi=10.1007/s00467-007-0465-7 |url=}}</ref><ref name="pmid19399273">{{cite journal |vauthors=Lee DG, Jeon SH, Lee CH, Lee SJ, Kim JI, Chang SG |title=Acute pyelonephritis: clinical characteristics and the role of the surgical treatment |journal=J. Korean Med. Sci. |volume=24 |issue=2 |pages=296–301 |date=April 2009 |pmid=19399273 |pmc=2672131 |doi=10.3346/jkms.2009.24.2.296 |url=}}</ref><ref name="pmid22969301">{{cite journal |vauthors=Saeed K |title=Renal infarction |journal=Int J Nephrol Renovasc Dis |volume=5 |issue= |pages=119–23 |date=2012 |pmid=22969301 |pmc=3437809 |doi=10.2147/IJNRD.S33768 |url=}}</ref><ref name="pmid24812524">{{cite journal |vauthors=Mahamid M, Francis A, Abid A, Awawde M, Abu-Elhija O |title=Embolic renal infarction mimicking renal colic |journal=Int J Nephrol Renovasc Dis |volume=7 |issue= |pages=157–9 |date=2014 |pmid=24812524 |pmc=4011809 |doi=10.2147/IJNRD.S59745 |url=}}</ref><ref name="pmid12389340">{{cite journal |vauthors=Korzets Z, Plotkin E, Bernheim J, Zissin R |title=The clinical spectrum of acute renal infarction |journal=Isr. Med. Assoc. J. |volume=4 |issue=10 |pages=781–4 |date=October 2002 |pmid=12389340 |doi= |url=}}</ref><ref name="pmid12512867">{{cite journal |vauthors=Brix AE |title=Renal papillary necrosis |journal=Toxicol Pathol |volume=30 |issue=6 |pages=672–4 |date=2002 |pmid=12512867 |doi=10.1080/01926230290166760 |url=}}</ref><ref name="pmid7038374">{{cite journal |vauthors=Eknoyan G, Qunibi WY, Grissom RT, Tuma SN, Ayus JC |title=Renal papillary necrosis: an update |journal=Medicine (Baltimore) |volume=61 |issue=2 |pages=55–73 |date=March 1982 |pmid=7038374 |doi= |url=}}</ref><ref name="pmid18806169">{{cite journal |vauthors=Ng CS, Wood CG, Silverman PM, Tannir NM, Tamboli P, Sandler CM |title=Renal cell carcinoma: diagnosis, staging, and surveillance |journal=AJR Am J Roentgenol |volume=191 |issue=4 |pages=1220–32 |date=October 2008 |pmid=18806169 |doi=10.2214/AJR.07.3568 |url=}}</ref><ref name="pmid15536955">{{cite journal |vauthors=Ares Valdés Y, Amador Sandoval B, Morales JC, Alonso Domínguez F, Carballo Velásquez L, Fragas Valdés R, Shou Rodríguez A |title=[The role of CT scan in the diagnosis of renal cell carcinoma] |language=Spanish; Castilian |journal=Arch. Esp. Urol. |volume=57 |issue=7 |pages=737–42 |date=September 2004 |pmid=15536955 |doi= |url=}}</ref><ref name="pmid20479778">{{cite journal |vauthors=Leveridge MJ, Bostrom PJ, Koulouris G, Finelli A, Lawrentschuk N |title=Imaging renal cell carcinoma with ultrasonography, CT and MRI |journal=Nat Rev Urol |volume=7 |issue=6 |pages=311–25 |date=June 2010 |pmid=20479778 |doi=10.1038/nrurol.2010.63 |url=}}</ref><ref name="pmid25393274">{{cite journal |vauthors=Bratt O, Lilja H |title=Serum markers in prostate cancer detection |journal=Curr Opin Urol |volume=25 |issue=1 |pages=59–64 |date=January 2015 |pmid=25393274 |pmc=4315142 |doi=10.1097/MOU.0000000000000128 |url=}}</ref><ref name="urlProstate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024422/ |title=Prostate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health |format= |work= |accessdate=}}</ref>
* [[Benign prostatic hypertrophy]] (BPH)
* [[Renal cancer]]
* [[Renal stones]]
* [[Bladder cancer]]
* [[Cystitis]]
* [[Glomerulonephritis]]
* [[Prostatitis]]
* [[Pyelonephritis]]


__NOTOC__
*[[Benign prostatic hypertrophy]] (BPH)
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Kidney_stone]]
*[[Renal cancer]]
{{CMG}}; {{AE}} {{HK}} {{ADS}}
*[[Renal stones]]
*[[Bladder cancer]]
*[[Cystitis]]
*[[Glomerulonephritis]]
*[[Prostatitis]]
*[[Pyelonephritis]]


==Overview==
Nephrolithiasis should be differentiated from other conditions presenting with [[Flank Pain|acute flank]] or [[upper abdominal pain]], [[hematuria]], [[nausea and vomiting]].


==Differentiating Nephrolithiasis from other Diseases==
Nephrolithiasis should be differentiated from other conditions presenting with [[Flank pain|acute flank]] or [[upper abdominal pain]], [[hematuria]], [[nausea and vomiting]]. The differentials include the following:<ref name="pmid18486720">{{cite journal |vauthors=Worcester EM, Coe FL |title=Nephrolithiasis |journal=Prim. Care |volume=35 |issue=2 |pages=369–91, vii |date=June 2008 |pmid=18486720 |pmc=2518455 |doi=10.1016/j.pop.2008.01.005 |url=}}</ref><ref name="pmid21789078">{{cite journal |vauthors=Semins MJ, Matlaga BR |title=Medical evaluation and management of urolithiasis |journal=Ther Adv Urol |volume=2 |issue=1 |pages=3–9 |date=February 2010 |pmid=21789078 |pmc=3126068 |doi=10.1177/1756287210369121 |url=}}</ref><ref name="pmid28764263">{{cite journal |vauthors=Venkatesh L, Hanumegowda RK |title=Acute Pyelonephritis - Correlation of Clinical Parameter with Radiological Imaging Abnormalities |journal=J Clin Diagn Res |volume=11 |issue=6 |pages=TC15–TC18 |date=June 2017 |pmid=28764263 |pmc=5535453 |doi=10.7860/JCDR/2017/27247.10033 |url=}}</ref><ref name="pmid17375337">{{cite journal |vauthors=Garin EH, Olavarria F, Araya C, Broussain M, Barrera C, Young L |title=Diagnostic significance of clinical and laboratory findings to localize site of urinary infection |journal=Pediatr. Nephrol. |volume=22 |issue=7 |pages=1002–6 |date=July 2007 |pmid=17375337 |doi=10.1007/s00467-007-0465-7 |url=}}</ref><ref name="pmid19399273">{{cite journal |vauthors=Lee DG, Jeon SH, Lee CH, Lee SJ, Kim JI, Chang SG |title=Acute pyelonephritis: clinical characteristics and the role of the surgical treatment |journal=J. Korean Med. Sci. |volume=24 |issue=2 |pages=296–301 |date=April 2009 |pmid=19399273 |pmc=2672131 |doi=10.3346/jkms.2009.24.2.296 |url=}}</ref><ref name="pmid22969301">{{cite journal |vauthors=Saeed K |title=Renal infarction |journal=Int J Nephrol Renovasc Dis |volume=5 |issue= |pages=119–23 |date=2012 |pmid=22969301 |pmc=3437809 |doi=10.2147/IJNRD.S33768 |url=}}</ref><ref name="pmid24812524">{{cite journal |vauthors=Mahamid M, Francis A, Abid A, Awawde M, Abu-Elhija O |title=Embolic renal infarction mimicking renal colic |journal=Int J Nephrol Renovasc Dis |volume=7 |issue= |pages=157–9 |date=2014 |pmid=24812524 |pmc=4011809 |doi=10.2147/IJNRD.S59745 |url=}}</ref><ref name="pmid12389340">{{cite journal |vauthors=Korzets Z, Plotkin E, Bernheim J, Zissin R |title=The clinical spectrum of acute renal infarction |journal=Isr. Med. Assoc. J. |volume=4 |issue=10 |pages=781–4 |date=October 2002 |pmid=12389340 |doi= |url=}}</ref><ref name="pmid12512867">{{cite journal |vauthors=Brix AE |title=Renal papillary necrosis |journal=Toxicol Pathol |volume=30 |issue=6 |pages=672–4 |date=2002 |pmid=12512867 |doi=10.1080/01926230290166760 |url=}}</ref><ref name="pmid7038374">{{cite journal |vauthors=Eknoyan G, Qunibi WY, Grissom RT, Tuma SN, Ayus JC |title=Renal papillary necrosis: an update |journal=Medicine (Baltimore) |volume=61 |issue=2 |pages=55–73 |date=March 1982 |pmid=7038374 |doi= |url=}}</ref><ref name="pmid18806169">{{cite journal |vauthors=Ng CS, Wood CG, Silverman PM, Tannir NM, Tamboli P, Sandler CM |title=Renal cell carcinoma: diagnosis, staging, and surveillance |journal=AJR Am J Roentgenol |volume=191 |issue=4 |pages=1220–32 |date=October 2008 |pmid=18806169 |doi=10.2214/AJR.07.3568 |url=}}</ref><ref name="pmid15536955">{{cite journal |vauthors=Ares Valdés Y, Amador Sandoval B, Morales JC, Alonso Domínguez F, Carballo Velásquez L, Fragas Valdés R, Shou Rodríguez A |title=[The role of CT scan in the diagnosis of renal cell carcinoma] |language=Spanish; Castilian |journal=Arch. Esp. Urol. |volume=57 |issue=7 |pages=737–42 |date=September 2004 |pmid=15536955 |doi= |url=}}</ref><ref name="pmid20479778">{{cite journal |vauthors=Leveridge MJ, Bostrom PJ, Koulouris G, Finelli A, Lawrentschuk N |title=Imaging renal cell carcinoma with ultrasonography, CT and MRI |journal=Nat Rev Urol |volume=7 |issue=6 |pages=311–25 |date=June 2010 |pmid=20479778 |doi=10.1038/nrurol.2010.63 |url=}}</ref><ref name="pmid23596502">{{cite journal |vauthors=Tritschler S, Roosen A, Füllhase C, Stief CG, Rübben H |title=Urethral stricture: etiology, investigation and treatments |journal=Dtsch Arztebl Int |volume=110 |issue=13 |pages=220–6 |date=March 2013 |pmid=23596502 |pmc=3627163 |doi=10.3238/arztebl.2013.0220 |url=}}</ref><ref name="pmid21176068">{{cite journal |vauthors=Mundy AR, Andrich DE |title=Urethral strictures |journal=BJU Int. |volume=107 |issue=1 |pages=6–26 |date=January 2011 |pmid=21176068 |doi=10.1111/j.1464-410X.2010.09800.x |url=}}</ref><ref name="pmid26816803">{{cite journal |vauthors=Maciejewski C, Rourke K |title=Imaging of urethral stricture disease |journal=Transl Androl Urol |volume=4 |issue=1 |pages=2–9 |date=February 2015 |pmid=26816803 |pmc=4708283 |doi=10.3978/j.issn.2223-4683.2015.02.03 |url=}}</ref><ref name="pmid20664404">{{cite journal |vauthors=Soper DE |title=Pelvic inflammatory disease |journal=Obstet Gynecol |volume=116 |issue=2 Pt 1 |pages=419–28 |date=August 2010 |pmid=20664404 |doi=10.1097/AOG.0b013e3181e92c54 |url=}}</ref><ref name="pmid9891675">{{cite journal |vauthors=Paavonen J |title=Pelvic inflammatory disease. From diagnosis to prevention |journal=Dermatol Clin |volume=16 |issue=4 |pages=747–56, xii |date=October 1998 |pmid=9891675 |doi= |url=}}</ref><ref name="pmid24802548">{{cite journal |vauthors=Lee MH, Moon MH, Sung CK, Woo H, Oh S |title=CT findings of acute pelvic inflammatory disease |journal=Abdom Imaging |volume=39 |issue=6 |pages=1350–5 |date=December 2014 |pmid=24802548 |doi=10.1007/s00261-014-0158-1 |url=}}</ref><ref name="pmid17054801">{{cite journal |vauthors=Eggert J, Sundquist K, van Vuuren C, Fianu-Jonasson A |title=The clinical diagnosis of pelvic inflammatory disease--reuse of electronic medical record data from 189 patients visiting a Swedish university hospital emergency department |journal=BMC Womens Health |volume=6 |issue= |pages=16 |date=October 2006 |pmid=17054801 |pmc=1624808 |doi=10.1186/1472-6874-6-16 |url=}}</ref><ref name="pmid24294125">{{cite journal |vauthors=Washington C, Carmichael JC |title=Management of ischemic colitis |journal=Clin Colon Rectal Surg |volume=25 |issue=4 |pages=228–35 |date=December 2012 |pmid=24294125 |pmc=3577613 |doi=10.1055/s-0032-1329534 |url=}}</ref><ref name="pmid25941431">{{cite journal |vauthors=Chawla YK, Bodh V |title=Portal vein thrombosis |journal=J Clin Exp Hepatol |volume=5 |issue=1 |pages=22–40 |date=March 2015 |pmid=25941431 |pmc=4415192 |doi=10.1016/j.jceh.2014.12.008 |url=}}</ref><ref name="urlImaging of Abdominal Aortic Aneurysms - - American Family Physician">{{cite web |url=https://www.aafp.org/afp/2002/0415/p1565.html |title=Imaging of Abdominal Aortic Aneurysms - - American Family Physician |format= |work= |accessdate=}}</ref><ref name="pmid21523201">{{cite journal |vauthors=Aggarwal S, Qamar A, Sharma V, Sharma A |title=Abdominal aortic aneurysm: A comprehensive review |journal=Exp Clin Cardiol |volume=16 |issue=1 |pages=11–5 |date=2011 |pmid=21523201 |pmc=3076160 |doi= |url=}}</ref><ref name="pmid20676257">{{cite journal |vauthors=Destigter KK, Keating DP |title=Imaging update: acute colonic diverticulitis |journal=Clin Colon Rectal Surg |volume=22 |issue=3 |pages=147–55 |date=August 2009 |pmid=20676257 |pmc=2780264 |doi=10.1055/s-0029-1236158 |url=}}</ref><ref name="pmid24888393">{{cite journal |vauthors=Hameed AM, Lam VW, Pleass HC |title=Significant elevations of serum lipase not caused by pancreatitis: a systematic review |journal=HPB (Oxford) |volume=17 |issue=2 |pages=99–112 |date=February 2015 |pmid=24888393 |pmc=4299384 |doi=10.1111/hpb.12277 |url=}}</ref><ref name="urlImaging for Suspected Appendicitis - - American Family Physician">{{cite web |url=https://www.aafp.org/afp/2005/0101/p71.html |title=Imaging for Suspected Appendicitis - - American Family Physician |format= |work= |accessdate=}}</ref><ref name="urlCT Findings of Acute Cholecystitis and Its Complications : American Journal of Roentgenology : Vol. 194, No. 6 (AJR)">{{cite web |url=https://www.ajronline.org/doi/full/10.2214/AJR.09.3640 |title=CT Findings of Acute Cholecystitis and Its Complications : American Journal of Roentgenology : Vol. 194, No. 6 (AJR) |format= |work= |accessdate=}}</ref><ref name="urlEpididymitis and Orchitis: An Overview - - American Family Physician">{{cite web |url=https://www.aafp.org/afp/2009/0401/p583.html |title=Epididymitis and Orchitis: An Overview - - American Family Physician |format= |work= |accessdate=}}</ref><ref name="pmid26526901">{{cite journal |vauthors=Jia JB, Houshyar R, Verma S, Uchio E, Lall C |title=Prostate cancer on computed tomography: A direct comparison with multi-parametric magnetic resonance imaging and tissue pathology |journal=Eur J Radiol |volume=85 |issue=1 |pages=261–267 |date=January 2016 |pmid=26526901 |doi=10.1016/j.ejrad.2015.10.013 |url=}}</ref><ref name="pmid25393274">{{cite journal |vauthors=Bratt O, Lilja H |title=Serum markers in prostate cancer detection |journal=Curr Opin Urol |volume=25 |issue=1 |pages=59–64 |date=January 2015 |pmid=25393274 |pmc=4315142 |doi=10.1097/MOU.0000000000000128 |url=}}</ref><ref name="urlProstate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024422/ |title=Prostate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health |format= |work= |accessdate=}}</ref><ref name="pmid25675798">{{cite journal |vauthors=Eskicioğlu F, Özdemir AT, Turan GA, Gür EB, Kasap E, Genç M |title=The efficacy of complete blood count parameters in the diagnosis of tubal ectopic pregnancy |journal=Ginekol. Pol. |volume=85 |issue=11 |pages=823–7 |date=November 2014 |pmid=25675798 |doi= |url=}}</ref><ref name="pmid21727242">{{cite journal |vauthors=Sivalingam VN, Duncan WC, Kirk E, Shephard LA, Horne AW |title=Diagnosis and management of ectopic pregnancy |journal=J Fam Plann Reprod Health Care |volume=37 |issue=4 |pages=231–40 |date=October 2011 |pmid=21727242 |pmc=3213855 |doi=10.1136/jfprhc-2011-0073 |url=}}</ref>
{|
{|
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Category
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Disease
! colspan="2" rowspan="5" |Diseases
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Risk factors
| colspan="9" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations'''
! colspan="5" align="center" style="background:#4479BA; color: #FFFFFF;" + |Symptoms
! colspan="2" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para-clinical findings
! colspan="6" align="center" style="background:#4479BA; color: #FFFFFF;" + |Signs
! rowspan="5" |'''Gold standard'''
! colspan="8" align="center" style="background:#4479BA; color: #FFFFFF;" + |Paraclinical studies
|-
|-
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Pain
| colspan="6" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Symptoms'''
! align="center" style="background:#4479BA; color: #FFFFFF;" + |N/V
! colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical examina
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Anorexia
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Constipation
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinary symptoms
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Fever
! align="center" style="background:#4479BA; color: #FFFFFF;" + |HR
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BP
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Tenderness
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Abdominopelvic exam
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Rectal exam
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CBC
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinalysis
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BUN
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Cr
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urine Beta−hCG
! align="center" style="background:#4479BA; color: #FFFFFF;" + |LFT
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Serum amylase & lipase
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CT
|-
|-
! rowspan="6" align="center" style="background:#4479BA; color: #FFFFFF;" + |Renal Pathology
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
! align="center" style="background:#DCDCDC;" + |Nephrolithiasis
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diagnosi
| align="left" style="background:#F5F5F5;" + |
* Inadequate dietary [[calcium]] intake
* [[Renal tubular acidosis]]
* Infection
| align="left" style="background:#F5F5F5;" + |
* [[Flank Pain|Flank]]/[[back pain]] radiating to groin
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + | −
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Hematuria]]
* [[Hypercalciuria]]
* [[Hyperoxaluria]]
* [[Cystinuria]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Radiolucent stone
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Pyelonephritis]]
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Low back pain
| align="left" style="background:#F5F5F5;" + |
! colspan="1" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
* [[Urinary tract obstruction]]
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nausea/
* [[Pregnancy]]
Vomiting
* Urinary instrumentation
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Urinary symptoms
| align="left" style="background:#F5F5F5;" + |
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hypertension
* [[Costovertebral angle]]
! colspan="1" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pitting edema
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↓
| align="left" style="background:#F5F5F5;" + |
* Positive renal punch sign
* Costovertebral angle [[tenderness]]
| align="left" style="background:#F5F5F5;" + |
* [[Urethritis]]
* [[Vaginitis]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Leukocytosis]]
| align="left" style="background:#F5F5F5;" + |
* [[Hematuria|Microscopic hematuria]]
* [[Pyuria]]
* Positive [[leukocyte esterase]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Might be +
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Decreased contrast uptake
* Foci from [[abscess]] pockets
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Renal infarct]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysuria
| align="left" style="background:#F5F5F5;" + |
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Frequency
* [[Sickle-cell disease|Sickle cell disease]] or trait
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Oliguria
* [[Trauma]]
| align="left" style="background:#F5F5F5;" + |
* [[Flank pain]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Leukocytosis]]
| align="left" style="background:#F5F5F5;" + |
* [[Hematuria]]
* [[Proteinuria]]
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Decreased contrast uptake
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Renal papillary necrosis]]
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease
| align="left" style="background:#F5F5F5;" + |
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Low back pain
* [[Analgesic]] use
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
* [[Sickle cell disease]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nausea/
* [[Tuberculosis]]
Vomiting
* [[Cirrhosis]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysuria
* [[Diabetes]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Frequency
* [[Vasculitis]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Oliguria
* [[Renal vein thrombosis]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hypertension
| align="left" style="background:#F5F5F5;" + |
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pitting edema
* [[Flank pain]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other
| align="center" style="background:#F5F5F5;" + |−
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
| align="center" style="background:#F5F5F5;" + |−
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diagnosis method
| align="center" style="background:#F5F5F5;" + |−
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Bacteriuria]]
* [[Pyuria]]
* [[Microscopic hematuria]]
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Blunted [[renal calyces]]
* Non−enhanced lesions surrounded by rings of excreted contrast material
* Hyperattenuated [[medullary]] [[Calcification|calcifications]]
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Renal cell carcinoma]]
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Nephrolithiasis]]<ref name="pmid12649987">{{cite journal |vauthors=Hochreiter W, Knoll T, Hess B |title=[Pathophysiology, diagnosis and conservative therapy of non-calcium kidney calculi] |language=German |journal=Ther Umsch |volume=60 |issue=2 |pages=89–97 |date=February 2003 |pmid=12649987 |doi=10.1024/0040-5930.60.2.89 |url=}}</ref><ref name="pmid23392537">{{cite journal |vauthors=Trinchieri A |title=Diet and renal stone formation |journal=Minerva Med. |volume=104 |issue=1 |pages=41–54 |date=February 2013 |pmid=23392537 |doi= |url=}}</ref>
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | +
* History of [[smoking]]
| style="background: #F5F5F5; padding: 5px;" |±
* [[Von Hippel-Lindau disease|Von−Hippel Lindau disease]]
| style="background: #F5F5F5; padding: 5px;" | +
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" |±
* [[Flank pain]]
| style="background: #F5F5F5; padding: 5px;" |±
| align="center" style="background:#F5F5F5;" + | +
| style="background: #F5F5F5; padding: 5px;" |±
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |–
| align="center" style="background:#F5F5F5;" + |±
| style="background: #F5F5F5; padding: 5px;" |–
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |−
*Radiating pain to groin
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |↑
*[[Hypercalciuria]]
| align="center" style="background:#F5F5F5;" + |−
*[[Hyperoxaluria]]
| align="left" style="background:#F5F5F5;" + |
*[[Hypocitraturia]]
* Flank mass
*[[Hyperuricemia]]
| align="center" style="background:#F5F5F5;" + |Nl
*[[Hyperuricosuria]]
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" |
* [[Anemia]]
*Ultrasound: [[Hydronephrosis]] +/-
| align="left" style="background:#F5F5F5;" + |
*[[Computed tomography|Abdominal CT scan]] without contrast
* [[Microscopic hematuria]]
| style="background: #F5F5F5; padding: 5px;" |Abdominal [[Computed tomography|CT scan]] without contrast
* Renal cell casts
* Urinary [[Aquaporin 1|aquaporin−1]] (AQP1) and adipophilin (ADFP)
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Soft tissue attenuation 
* [[Calcification]] and [[necrosis]]
* Homogenous to irregular contrast enhancement
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Urethral stricture]]
| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignancy]]
| align="left" style="background:#F5F5F5;" + |
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Renal cell carcinoma|Renal cell carcinoma (RCC)]]<ref name="pmid16339096">{{cite journal| author=Cohen HT, McGovern FJ| title=Renal-cell carcinoma. | journal=N Engl J Med | year= 2005 | volume= 353 | issue= 23 | pages= 2477-90 | pmid=16339096 | doi=10.1056/NEJMra043172 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16339096  }}</ref><ref name="pmid20479778">{{cite journal |vauthors=Leveridge MJ, Bostrom PJ, Koulouris G, Finelli A, Lawrentschuk N |title=Imaging renal cell carcinoma with ultrasonography, CT and MRI |journal=Nat Rev Urol |volume=7 |issue=6 |pages=311–25 |date=June 2010 |pmid=20479778 |doi=10.1038/nrurol.2010.63 |url=}}</ref>
* Prior [[urinary tract]] surgery
| style="background: #F5F5F5; padding: 5px;" | -
* [[Congenital]]
| style="background: #F5F5F5; padding: 5px;" | -
* [[Urinary catheterization]]
| style="background: #F5F5F5; padding: 5px;" | -
* Direct [[Penis|penile]] trauma
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" |±
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" |±
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |−
*[[Flanks|Flank]] mass
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |Nl
*[[Anemia]]
| align="center" style="background:#F5F5F5;" + |−
*[[Hematuria]]
| align="center" style="background:#F5F5F5;" + |Nl
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |Nl
*Both [[CT]] and [[MRI]] may be used to detect [[neoplastic]] masses that may define renal cell carcinoma or metastasis of the primary cancer. [[CT]] scan and use of intravenous (IV) contrast is generally used for work-up and follow-up of patients with [[Renal cell carcinoma|renal cell carcinom]]<nowiki/>a.
| align="center" style="background:#F5F5F5;" + |−
*The histological pattern of renal cell [[carcinoma]] depends whether it is [[Papillary|papillary,]] [[chromophobe]] or [[collecting duct]] renal cell carcinoma.
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" |–
* [[Hematuria]]
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
|-
|-
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Category
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Bladder cancer]]<ref name="pmid21360040">{{cite journal| author=Pons F, Orsola A, Morote J, Bellmunt J| title=Variant forms of bladder cancer: basic considerations on treatment approaches. | journal=Curr Oncol Rep | year= 2011 | volume= 13 | issue= 3 | pages= 216-21 | pmid=21360040 | doi=10.1007/s11912-011-0161-4 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21360040  }}</ref><ref name="pmid10918764">{{cite journal |vauthors=Metts MC, Metts JC, Milito SJ, Thomas CR |title=Bladder cancer: a review of diagnosis and management |journal=J Natl Med Assoc |volume=92 |issue=6 |pages=285–94 |date=June 2000 |pmid=10918764 |pmc=2640522 |doi= |url=}}</ref><ref name="pmid182316182">{{cite journal |vauthors=Rom M, Kuehhas FE, Djavan B |title=New findings in bladder and prostate cancer: highlights of the 22nd annual congress of the European association of urology, march 21-24, 2007, berlin, Germany |journal=Rev Urol |volume=9 |issue=4 |pages=214–9 |date=2007 |pmid=18231618 |pmc=2199502 |doi= |url=}}</ref>
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Disease
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Risk factors
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Pain
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#4479BA; color: #FFFFFF;" + |N/V
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Anorexia
| style="background: #F5F5F5; padding: 5px;" |±
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Constipation
| style="background: #F5F5F5; padding: 5px;" |±
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinary symptoms
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Fever
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#4479BA; color: #FFFFFF;" + |HR
| style="background: #F5F5F5; padding: 5px;" |Suprapubic pain
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BP
| style="background: #F5F5F5; padding: 5px;" |
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Tenderness
*[[Anemia]]
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Abdominopelvic exam
*[[Hematuria]]
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Rectal exam
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound]], [[Computed tomography|CT scan]], Biopsy
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CBC
| style="background: #F5F5F5; padding: 5px;" |Biopsy
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinalysis
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BUN
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Cr
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urine Beta−hCG
! align="center" style="background:#4479BA; color: #FFFFFF;" + |LFT
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Serum amylase & lipase
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CT
|-
|-
! rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" + |Gynecological pathology
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Prostate cancer]]<ref name="pmid23451265">{{cite journal |vauthors=Chung SD, Liu SP, Lin HC |title=Association between prostate cancer and urinary calculi: a population-based study |journal=PLoS ONE |volume=8 |issue=2 |pages=e57743 |date=2013 |pmid=23451265 |pmc=3581486 |doi=10.1371/journal.pone.0057743 |url=}}</ref><ref name="pmid18231618">{{cite journal |vauthors=Rom M, Kuehhas FE, Djavan B |title=New findings in bladder and prostate cancer: highlights of the 22nd annual congress of the European association of urology, march 21-24, 2007, berlin, Germany |journal=Rev Urol |volume=9 |issue=4 |pages=214–9 |date=2007 |pmid=18231618 |pmc=2199502 |doi= |url=}}</ref>
! align="center" style="background:#DCDCDC;" + |[[Pelvic inflammatory disease]]
| style="background: #F5F5F5; padding: 5px;" |±
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | -
* [[Caesarean section|Cesarean section]]
| style="background: #F5F5F5; padding: 5px;" | -
* Septic [[Pregnancy termination complications|abortion]]
| style="background: #F5F5F5; padding: 5px;" | -
* [[Tuberculosis]]
| style="background: #F5F5F5; padding: 5px;" |±
* [[Actinomycosis]]
| style="background: #F5F5F5; padding: 5px;" |±
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | -
* Right/left upper quadrant
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |−
*[[Anemia]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
*[[Hematuria]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound]], [[Computed tomography|CT scan]], Biopsy
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |Biopsy
| align="center" style="background:#F5F5F5;" + |↓
| align="left" style="background:#F5F5F5;" + |
* [[Cervical motion tenderness]]
* Adnexal tenderness
| align="left" style="background:#F5F5F5;" + |
* [[Vaginal discharge|Foul smelling vaginal]]/[[Urethral discharge|urtetheral discharge]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Leukocytosis]]
| align="left" style="background:#F5F5F5;" + |
* [[Bacteriuria]] (''[[Neisseria]] [[Gonorrhoea|gonorrhoeae]]'' or ''[[Chlamydia trachomatis]]'', polymicrobial)
* [[Pyuria]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Might be +
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Thickening of the [[uterosacral ligaments]]
* Periovarian stranding
* Enhancement of the adjacent [[peritoneum]]
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Ovarian torsion]]
| rowspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Urinary system|Lower urinary tract diseases]]
| align="center" style="background:#F5F5F5;" + |NA
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Benign prostatic hyperplasia]]
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | +/-
* Acute unilateral poorly localized [[Lower abdominal pain|lower abdominal]] sharp colicky pain aggravated by walking
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | +
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | +
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |Nl
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |−
*[[Nocturia]]
| align="left" style="background:#F5F5F5;" + |
*Other voiding symptoms
* [[Adnexal]] tenderness
**Slow urinary stream
* [[Adnexal mass causes|Adnexal mass]]
**Splitting or spraying of the [[Urinary system|urinary]] stream
| align="center" style="background:#F5F5F5;" + |Nl
**Intermittent urinary stream
| align="center" style="background:#F5F5F5;" + |−
**Hesitancy
| align="center" style="background:#F5F5F5;" + |−
**Straining to void
| align="center" style="background:#F5F5F5;" + |−
**Terminal dribbling
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |−
*Urinalysis to rule out [[Urinary tract infection|UTI]]
| align="center" style="background:#F5F5F5;" + |Nl
*Elevated [[Blood urea nitrogen|BUN]]/[[Creatinine|Cr]]
| align="center" style="background:#F5F5F5;" + |Nl
*High [[Prostate specific antigen|PSA]] values
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" |
* Twisted and distended [[ovarian]] pedicle
*Urine cytology to screen for bladder cancer
* Enlarged [[ovary]] (>4.0 cm)
*Biopsy to rule out cancer
| style="background: #F5F5F5; padding: 5px;" |Biopsy
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Ectopic pregnancy]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Urolithiasis]]<ref name="pmid126499872">{{cite journal |vauthors=Hochreiter W, Knoll T, Hess B |title=[Pathophysiology, diagnosis and conservative therapy of non-calcium kidney calculi] |language=German |journal=Ther Umsch |volume=60 |issue=2 |pages=89–97 |date=February 2003 |pmid=12649987 |doi=10.1024/0040-5930.60.2.89 |url=}}</ref><ref name="pmid24818849">{{cite journal |vauthors=Flannigan R, Choy WH, Chew B, Lange D |title=Renal struvite stones--pathogenesis, microbiology, and management strategies |journal=Nat Rev Urol |volume=11 |issue=6 |pages=333–41 |date=June 2014 |pmid=24818849 |doi=10.1038/nrurol.2014.99 |url=}}</ref><ref name="pmid25685869">{{cite journal |vauthors=Pereira DJ, Schoolwerth AC, Pais VM |title=Cystinuria: current concepts and future directions |journal=Clin. Nephrol. |volume=83 |issue=3 |pages=138–46 |date=March 2015 |pmid=25685869 |doi= |url=}}</ref>
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | +
* History of previous [[ectopic pregnancy]]
| style="background: #F5F5F5; padding: 5px;" | +/-
* Tubal surgery
| style="background: #F5F5F5; padding: 5px;" | +
* [[Intrauterine device]] usage
| style="background: #F5F5F5; padding: 5px;" | +
* History of [[pelvic]] surgery
| style="background: #F5F5F5; padding: 5px;" | +
* Increased [[maternal]] age
| style="background: #F5F5F5; padding: 5px;" | +
* [[Cigarette smoking]]
| style="background: #F5F5F5; padding: 5px;" | -
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | -
* [[Lower abdominal pain|Lower abdominal]]
| style="background: #F5F5F5; padding: 5px;" |
* Unilateral [[Shoulder Pain|shoulder]] or [[neck pain]] (referred)
*[[Flanks|Flank]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
*[[Groin]] pain
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |−
*[[Urine|Urine analysis]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
 
| align="center" style="background:#F5F5F5;" + |−
*High [[Creatinine|Cr]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |Abdominppelvic [[Computed tomography|CT scan]] without contrast
| align="center" style="background:#F5F5F5;" + |↓ (if ruptured)
| style="background: #F5F5F5; padding: 5px;" |Abdominppelvic [[Computed tomography|CT scan]] without contrast
| align="left" style="background:#F5F5F5;" + |
* Positive abdominal tenderness (if ruptured)
| align="left" style="background:#F5F5F5;" + |
* [[Vaginal bleeding]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Low platelet distribution width (decreased platelet activation)
* [[Monocytosis]]
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |Might be abnormal
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |NA
|-
|-
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Category
| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Infectious disease|Infectious diseases]]
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Disease
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pyelonephritis]]<ref name="pmid256858692">{{cite journal |vauthors=Pereira DJ, Schoolwerth AC, Pais VM |title=Cystinuria: current concepts and future directions |journal=Clin. Nephrol. |volume=83 |issue=3 |pages=138–46 |date=March 2015 |pmid=25685869 |doi= |url=}}</ref><ref name="pmid18092884">{{cite journal| author=Rosen DA, Hooton TM, Stamm WE, Humphrey PA, Hultgren SJ| title=Detection of intracellular bacterial communities in human urinary tract infection. | journal=PLoS Med | year= 2007 | volume= 4 | issue= 12 | pages= e329 | pmid=18092884 | doi=10.1371/journal.pmed.0040329 | pmc=2140087 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18092884  }}</ref>
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Risk factors
| style="background: #F5F5F5; padding: 5px;" | +
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Pain
| style="background: #F5F5F5; padding: 5px;" | +
! align="center" style="background:#4479BA; color: #FFFFFF;" + |N/V
| style="background: #F5F5F5; padding: 5px;" | +
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Anorexia
| style="background: #F5F5F5; padding: 5px;" | +
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Constipation
| style="background: #F5F5F5; padding: 5px;" | +
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinary symptoms
| style="background: #F5F5F5; padding: 5px;" | +
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Fever
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#4479BA; color: #FFFFFF;" + |HR
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BP
| style="background: #F5F5F5; padding: 5px;" |
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Tenderness
*[[Delirium]]
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Abdominopelvic exam
*[[Headache]]
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Rectal exam
| style="background: #F5F5F5; padding: 5px;" |
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CBC
*Positive  [[leukocyte esterase]] test and [[nitrite test]].
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinalysis
*Blood/urine cultures
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BUN
| style="background: #F5F5F5; padding: 5px;" |[[Computed tomography|CT]] and [[ultrasound]]:
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Cr
 
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urine Beta−hCG
*Enlarged [[Kidney|kidneys]]
! align="center" style="background:#4479BA; color: #FFFFFF;" + |LFT
*Round swollen [[Kidney|kidneys]]
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Serum amylase & lipase
*Hypodense appearance
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CT
*[[Abscess|Abscesses]] may not be present
| style="background: #F5F5F5; padding: 5px;" | -
|-
|-
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Prostate pathology
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cystitis]]<ref name="pmid16298166">{{cite journal| author=Franco AV| title=Recurrent urinary tract infections. | journal=Best Pract Res Clin Obstet Gynaecol | year= 2005 | volume= 19 | issue= 6 | pages= 861-73 | pmid=16298166 | doi=10.1016/j.bpobgyn.2005.08.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16298166  }}</ref><ref name="pmid162981662">{{cite journal| author=Franco AV| title=Recurrent urinary tract infections. | journal=Best Pract Res Clin Obstet Gynaecol | year= 2005 | volume= 19 | issue= 6 | pages= 861-73 | pmid=16298166 | doi=10.1016/j.bpobgyn.2005.08.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16298166  }}</ref>
! align="center" style="background:#DCDCDC;" + |[[Prostatitis]]
| style="background: #F5F5F5; padding: 5px;" | -
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | -
* Bacterial infection
| style="background: #F5F5F5; padding: 5px;" | -
* Prior history of [[prostatitis]]
| style="background: #F5F5F5; padding: 5px;" | +
* [[Urinary catheterization]]
| style="background: #F5F5F5; padding: 5px;" | +
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | +
* [[Perineal]] pain
| style="background: #F5F5F5; padding: 5px;" | -
* [[Lower back pain]]
| style="background: #F5F5F5; padding: 5px;" | -
* Suprapubic pain
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |−
*[[Dyspareunia]]
| align="center" style="background:#F5F5F5;" + |−
*Supra pubic tenderness
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" |
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
*[[Pyuria]]: > 5-10 [[White blood cells|WBC]]/hpf or 27 [[WBC]]/microliter
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
*Positive  [[leukocyte esterase]] test and [[nitrite test]].
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
*Positive urine/blood cultures
| align="center" style="background:#F5F5F5;" + |Nl
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound|Ultrasound:]]
| align="center" style="background:#F5F5F5;" + |−
*Presence of gas in the bladder wall.
| align="center" style="background:#F5F5F5;" + |Nl
 
| align="left" style="background:#F5F5F5;" + |
*Also, help to detect the presence of a [[tumor]] or a [[Stone massage|stone]].
* Enlarged [[prostate]]
| style="background: #F5F5F5; padding: 5px;" |Urine culture
* [[Rectal pain]]
| align="left" style="background:#F5F5F5;" + |
* [[Leukocytosis]]
| align="left" style="background:#F5F5F5;" + |
* [[Bacteriuria]]
* [[Pyuria]]
* [[Microscopic hematuria]]
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Edema of the [[prostate gland]] with diffuse enlargement
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Prostatic cancer]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Prostatitis]]<ref>{{Cite journal
| align="left" style="background:#F5F5F5;" + |
| author = [[John N. Krieger]], [[Ulrich Dobrindt]], [[Donald E. Riley]] & [[Eric Oswald]]
* [[Family history]] of [[Prostate cancer|prostate cancer]]
| title = Acute Escherichia coli prostatitis in previously health young men: bacterial virulence factors, antimicrobial resistance, and clinical outcomes
* [[Germline mutation]] of [[HOXB13]]
| journal = [[Urology]]
* Black ethnicity
| volume = 77
* Age > 50 years
| issue = 6
| align="center" style="background:#F5F5F5;" + |−
| pages = 1420–1425
| align="center" style="background:#F5F5F5;" + |−
| year = 2011
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| month = June
| align="center" style="background:#F5F5F5;" + |−
| doi = 10.1016/j.urology.2010.12.059
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| pmid = 21459419
| align="center" style="background:#F5F5F5;" + |−
}}</ref><ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }}</ref>
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |Nl
| style="background: #F5F5F5; padding: 5px;" | +
| align="center" style="background:#F5F5F5;" + |−
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |Nl
| style="background: #F5F5F5; padding: 5px;" | +
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" | +
* Enlarged [[prostate]]
| style="background: #F5F5F5; padding: 5px;" | +
* Firm and hard
| style="background: #F5F5F5; padding: 5px;" | -
| align="center" style="background:#F5F5F5;" + |Nl
| style="background: #F5F5F5; padding: 5px;" | -
| align="left" style="background:#F5F5F5;" + |
| style="background: #F5F5F5; padding: 5px;" |
* [[Hematuria]]
*Body aches
* Positive [[prostate specific antigen]]
| style="background: #F5F5F5; padding: 5px;" |
* High levels of [[TMPRSS2]]:ERG and [[PCA3]]
*Increased [[leukocytes]] (>10 per high power field) on [[Complete blood count|CBC]]
| align="center" style="background:#F5F5F5;" + |Nl
*Bacteria seen on [[urine culture]]
| align="center" style="background:#F5F5F5;" + |Nl
*Elevated [[C-reactive protein]]
| align="center" style="background:#F5F5F5;" + |−
*Transiently elevated [[PSA]] ([[prostate specific antigen]]) levels
| align="center" style="background:#F5F5F5;" + |Nl
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound|Ultrasound:]]
| align="center" style="background:#F5F5F5;" + |Nl
*Focal hypoechoic region located in the peripheral part of the [[prostate]]
| align="left" style="background:#F5F5F5;" + |
 
* Focal areas of mass−like enhancement in the peripheral [[prostate]]
[[Computed tomography|CT scan:]]
* [[Calcification|Calcifications]]
 
|-
*Edema of the [[prostate gland]] with diffuse enlargement,.
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Testicular pathology
| style="background: #F5F5F5; padding: 5px;" | -
! align="center" style="background:#DCDCDC;" + |[[Testicular torsion]]
| align="left" style="background:#F5F5F5;" + |
* Age 12 − 16 years
* [[Family history]] of [[testicular torsion]]
* [[Prematurity]]
* [[Undescended testes]]
| align="left" style="background:#F5F5F5;" + |
* Sudden onset unilateral [[testicular pain]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="left" style="background:#F5F5F5;" + |
* Absent [[cremasteric reflex]]
* [[Testicle]] may be swollen, tender, and high−riding, with an abnormal transverse lie.
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Doppler ultrasound]] > [[Computed tomography|CT scan]] for diagnosis (absence of [[blood]] flow in the affected [[Testicle|testis]])
|-
! align="center" style="background:#DCDCDC;" + |[[Orchitis]]
| align="left" style="background:#F5F5F5;" + |
* Unprotected sexual intercourse
* [[Mumps]], [[Coxsackie virus|coxsackie]] virus infection
* [[Congenital disorder|Congenital abnornmalities]]
* [[Prostatic hypertrophy]] or [[calculi]]
| align="left" style="background:#F5F5F5;" + |
* Abrupt onset of [[testicular pain]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="left" style="background:#F5F5F5;" + |
* Testicular swelling and tenderness
* Normal [[cremasteric reflex]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Leukocytosis]]
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Ultrasound]] > [[Computed tomography|CT scan]] for diagnosis ([[Scrotal mass|testicular masses]] or swollen [[testicles]] with hypoechoic and hypervascular areas)
|-
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Category
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Disease
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Risk factors
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Pain
! align="center" style="background:#4479BA; color: #FFFFFF;" + |N/V
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Anorexia
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Constipation
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinary symptoms
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Fever
! align="center" style="background:#4479BA; color: #FFFFFF;" + |HR
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BP
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Tenderness
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Abdominopelvic exam
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Rectal exam
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CBC
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinalysis
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BUN
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Cr
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urine Beta−hCG
! align="center" style="background:#4479BA; color: #FFFFFF;" + |LFT
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Serum amylase & lipase
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CT
|-
! rowspan="8" align="center" style="background:#4479BA; color: #FFFFFF;" + |Abdominal pathology
! align="center" style="background:#DCDCDC;" + |[[Cholecystitis]]
| align="left" style="background:#F5F5F5;" + |
* Female gender
* [[Obesity]]
* [[Pregnancy]]
* Rapid [[weight loss]]
* [[Total parenteral nutrition]]
| align="left" style="background:#F5F5F5;" + |
* [[Right upper quadrant pain|Right upper abdominal quadrant pain]]
* [[Flank pain]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Leukocytosis]]
| align="left" style="background:#F5F5F5;" + |
* [[Bilirubin]] (pigment) stones
* [[Cholesterol]] stones
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Might be abnormal
| align="center" style="background:#F5F5F5;" + |Might be abnormal
| align="left" style="background:#F5F5F5;" + |
* [[Gallbladder]] distention
* Wall thickening
* Pericholecystic fat stranding or fluid
* [[Gallstones]]
|-
! align="center" style="background:#DCDCDC;" + |[[Appendicitis]]
| align="left" style="background:#F5F5F5;" + |
* [[Adolescent|Adolescents]]
* Diet low in fiber and high in refined [[carbohydrates]]
| align="left" style="background:#F5F5F5;" + |
* [[Pain]] in umblical area
* Radiating to [[Right lower quadrant abdominal pain resident survival guide|right lower abdominal quadrant]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Leukocytosis
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | Abnormal (if [[Perforation of inflamed diverticulum|perforation]])
| align="left" style="background:#F5F5F5;" + |
* [[Vermiform appendix|Appendiceal]] wall thickening
* [[Phlegmon]]
* [[Abscess]]
* [[Adenopathy]]
|-
! align="center" style="background:#DCDCDC;" + |[[Diverticulitis]]
| align="left" style="background:#F5F5F5;" + |
* [[Diverticulosis]]
* Low [[Fiber|fiber diet]]
* Old age
| align="left" style="background:#F5F5F5;" + |
* [[Left lower quadrant abdominal pain resident survival guide|Left lower abdominal quadrant]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Bleeding]]
* [[Rectal masses|Rectal mass]]
* [[Rectal]] [[tenderness]]
| align="left" style="background:#F5F5F5;" + |
* [[Leukocytosis]]
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | Abnormal (if [[Perforation of inflamed diverticulum|perforation]])
| align="left" style="background:#F5F5F5;" + |
* [[Colon|Colonic]] wall thickening
* Pericolic fat stranding
|-
! align="center" style="background:#DCDCDC;" + |[[Abdominal aortic aneurysm]]
| align="left" style="background:#F5F5F5;" + |
* [[Cigarette smoking]]
* [[Hypertension]]
| align="left" style="background:#F5F5F5;" + |
* [[Epigastric pain]]
* Deep boring [[pain]] in the [[back]]
* May radiate to [[flank]]
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* Positive abdominal tenderness (if rupture)
| align="center" style="background:#F5F5F5;" + |
* [[Pulsatile Flow|Pulsatile]] [[abdominal mass]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* CT scan accurately predict the aneurysmal size
|-
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Disease
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Risk factors
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Pain
! align="center" style="background:#4479BA; color: #FFFFFF;" + |N/V
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Anorexia
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Constipation
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinary symptoms
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Fever
! align="center" style="background:#4479BA; color: #FFFFFF;" + |HR
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BP
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Tenderness
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Abdominopelvic exam
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Rectal exam
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CBC
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinalysis
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BUN
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Cr
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urine Beta−hCG
! align="center" style="background:#4479BA; color: #FFFFFF;" + |LFT
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Serum amylase & lipase
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CT
|-
! align="center" style="background:#DCDCDC;" + |[[Portal vein thrombosis]]
| align="left" style="background:#F5F5F5;" + |
* Coagulopathies
* [[Oral contraceptive|Oral contraceptive use]]
* [[Cirrhosis]]
* [[Pregnancy]] and [[post-partum|post−partum]]
| align="left" style="background:#F5F5F5;" + |
* [[Abdominal]] or [[lumbar pain]]
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |↓
| align="left" style="background:#F5F5F5;" + |
* Positive abdominal tenderness (if [[bowel]] [[ischemia]] or [[infarction]])
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Hematochezia]]
| align="left" style="background:#F5F5F5;" + |
* [[Anemia]]
* [[Thrombocytopenia]]
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Might be abnormal
| align="center" style="background:#F5F5F5;" + |Abnormal (if [[bowel]] [[infarction]], [[perforation]])
| align="left" style="background:#F5F5F5;" + |
* Hyperdense thrombus on non−contrast CT
* Non−enhancing defect of bland thrombus on contrast CT
|-
! align="center" style="background:#DCDCDC;" + |[[Duodenal ulcer]]
| align="left" style="background:#F5F5F5;" + |
* [[Helicobacter pylori infection]]
* [[Tobacco smoking]]
* [[NSAID|NSAID use]]
* [[Alcohol|EtOH use]]
| align="left" style="background:#F5F5F5;" + |
* [[Epigastric pain]] which relieved by intake of food
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |↓
| align="left" style="background:#F5F5F5;" + |
* Positive abdominal tenderness (if [[Bowel perforation|perforation]])
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Melena]]
| align="left" style="background:#F5F5F5;" + |
* [[Anemia]]
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Abnormal (if [[bowel perforation]])
| align="left" style="background:#F5F5F5;" + |
* [[Endoscopy]] > [[CT scan]] for diagnosis
|-
! align="center" style="background:#DCDCDC;" + |[[Ischemic colitis]]
| align="left" style="background:#F5F5F5;" + |
* Advanced age
* [[Hemodialysis]]
* [[Hypertension]]
* [[Diabetes mellitus]]
| align="left" style="background:#F5F5F5;" + |
* Acute−onset [[abdominal cramping]] 
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki>
| align="center" style="background:#F5F5F5;" + |↑ or ↓ (if [[necrosis]] or [[sepsis]])
| align="left" style="background:#F5F5F5;" + |
* Positive abdominal tenderness (if transmural [[necrosis]])
| align="center" style="background:#F5F5F5;" + |Nl
| align="left" style="background:#F5F5F5;" + |
* [[Hematochezia]]
| align="left" style="background:#F5F5F5;" + |
* [[Leukocytosis]] (if [[necrosis]])
* [[Anemia]] (if [[Gastrointestinal perforation|perforation]] and [[bleeding]])
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |−
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Abnormal (if bowel [[perforation]])
| align="left" style="background:#F5F5F5;" + |
* [[Bowel]] wall thickening
* Thumbprinting
* [[Halo sign|Double halo]] or target sign 
* [[Submucosal]] [[edema]] or [[hemorrhage]]
* Pneumatosis coli (if infarction)
|-
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Category
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Disease
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Risk factors
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Pain
! align="center" style="background:#4479BA; color: #FFFFFF;" + |N/V
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Anorexia
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Constipation
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinary symptoms
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Fever
! align="center" style="background:#4479BA; color: #FFFFFF;" + |HR
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BP
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Tenderness
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Abdominopelvic exam
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Rectal exam
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CBC
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urinalysis
! align="center" style="background:#4479BA; color: #FFFFFF;" + |BUN
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Cr
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Urine Beta−hCG
! align="center" style="background:#4479BA; color: #FFFFFF;" + |LFT
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Serum amylase & lipase
! align="center" style="background:#4479BA; color: #FFFFFF;" + |CT
|}
|}


Latest revision as of 19:28, 27 January 2021

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2] Syed Hassan A. Kazmi BSc, MD [3] Amandeep Singh M.D.[4]

Overview

Prostate cancer must be differentiated from benign prostatic hypertrophy, renal cancer, renal stones, bladder cancer, and cystitis.

Differential diagnosis

Prostate cancer must be differentiated from:[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]


Diseases Clinical manifestations Para-clinical findings Gold standard
Symptoms Physical examina
Lab Findings Diagnosi
Low back pain Fever Nausea/

Vomiting

Urinary symptoms Hypertension Pitting edema Other
Dysuria Frequency Oliguria
Disease Low back pain Fever Nausea/

Vomiting

Dysuria Frequency Oliguria Hypertension Pitting edema Other Lab Findings Diagnosis method Gold standard
Nephrolithiasis[16][17] + ± + ± ± ± – –
  • Radiating pain to groin
 Abdominal CT scan without contrast
Malignancy Renal cell carcinoma (RCC)[18][13] - - - - - - ± ± –
Bladder cancer[19][20][21] - - - - ± ± - - Suprapubic pain Ultrasound, CT scan, Biopsy Biopsy
Prostate cancer[22][23] ± - - - ± ± - - - Ultrasound, CT scan, Biopsy Biopsy
Lower urinary tract diseases Benign prostatic hyperplasia +/- - - + + - - -
  • Nocturia
  • Other voiding symptoms
    • Slow urinary stream
    • Splitting or spraying of the urinary stream
    • Intermittent urinary stream
    • Hesitancy
    • Straining to void
    • Terminal dribbling
  • Urinalysis to rule out UTI
  • Elevated BUN/Cr
  • High PSA values
  • Urine cytology to screen for bladder cancer
  • Biopsy to rule out cancer
 Biopsy
Urolithiasis[24][25][26] + +/- + + + + - - Abdominppelvic CT scan without contrast Abdominppelvic CT scan without contrast
Infectious diseases Pyelonephritis[27][28] + + + + + + - - CT and ultrasound: -
Cystitis[29][30] - - - + + + - - Ultrasound:
  • Presence of gas in the bladder wall.
  • Also, help to detect the presence of a tumor or a stone.
 Urine culture
Prostatitis[31][32] - + - + + + - -
  • Body aches
 Ultrasound:
  • Focal hypoechoic region located in the peripheral part of the prostate

CT scan:

-

References

  1. ↑ Worcester EM, Coe FL (June 2008). "Nephrolithiasis". Prim. Care. 35 (2): 369–91, vii. doi:10.1016/j.pop.2008.01.005. PMC 2518455. PMID 18486720.
  2. ↑ Semins MJ, Matlaga BR (February 2010). "Medical evaluation and management of urolithiasis". Ther Adv Urol. 2 (1): 3–9. doi:10.1177/1756287210369121. PMC 3126068. PMID 21789078.
  3. ↑ Venkatesh L, Hanumegowda RK (June 2017). "Acute Pyelonephritis - Correlation of Clinical Parameter with Radiological Imaging Abnormalities". J Clin Diagn Res. 11 (6): TC15–TC18. doi:10.7860/JCDR/2017/27247.10033. PMC 5535453. PMID 28764263.
  4. ↑ Garin EH, Olavarria F, Araya C, Broussain M, Barrera C, Young L (July 2007). "Diagnostic significance of clinical and laboratory findings to localize site of urinary infection". Pediatr. Nephrol. 22 (7): 1002–6. doi:10.1007/s00467-007-0465-7. PMID 17375337.
  5. ↑ Lee DG, Jeon SH, Lee CH, Lee SJ, Kim JI, Chang SG (April 2009). "Acute pyelonephritis: clinical characteristics and the role of the surgical treatment". J. Korean Med. Sci. 24 (2): 296–301. doi:10.3346/jkms.2009.24.2.296. PMC 2672131. PMID 19399273.
  6. ↑ Saeed K (2012). "Renal infarction". Int J Nephrol Renovasc Dis. 5: 119–23. doi:10.2147/IJNRD.S33768. PMC 3437809. PMID 22969301.
  7. ↑ Mahamid M, Francis A, Abid A, Awawde M, Abu-Elhija O (2014). "Embolic renal infarction mimicking renal colic". Int J Nephrol Renovasc Dis. 7: 157–9. doi:10.2147/IJNRD.S59745. PMC 4011809. PMID 24812524.
  8. ↑ Korzets Z, Plotkin E, Bernheim J, Zissin R (October 2002). "The clinical spectrum of acute renal infarction". Isr. Med. Assoc. J. 4 (10): 781–4. PMID 12389340.
  9. ↑ Brix AE (2002). "Renal papillary necrosis". Toxicol Pathol. 30 (6): 672–4. doi:10.1080/01926230290166760. PMID 12512867.
  10. ↑ Eknoyan G, Qunibi WY, Grissom RT, Tuma SN, Ayus JC (March 1982). "Renal papillary necrosis: an update". Medicine (Baltimore). 61 (2): 55–73. PMID 7038374.
  11. ↑ Ng CS, Wood CG, Silverman PM, Tannir NM, Tamboli P, Sandler CM (October 2008). "Renal cell carcinoma: diagnosis, staging, and surveillance". AJR Am J Roentgenol. 191 (4): 1220–32. doi:10.2214/AJR.07.3568. PMID 18806169.
  12. ↑ Ares Valdés Y, Amador Sandoval B, Morales JC, Alonso Domínguez F, Carballo Velásquez L, Fragas Valdés R, Shou Rodríguez A (September 2004). "[The role of CT scan in the diagnosis of renal cell carcinoma]". Arch. Esp. Urol. (in Spanish; Castilian). 57 (7): 737–42. PMID 15536955.
  13. ↑ 13.0 13.1 Leveridge MJ, Bostrom PJ, Koulouris G, Finelli A, Lawrentschuk N (June 2010). "Imaging renal cell carcinoma with ultrasonography, CT and MRI". Nat Rev Urol. 7 (6): 311–25. doi:10.1038/nrurol.2010.63. PMID 20479778.
  14. ↑ Bratt O, Lilja H (January 2015). "Serum markers in prostate cancer detection". Curr Opin Urol. 25 (1): 59–64. doi:10.1097/MOU.0000000000000128. PMC 4315142. PMID 25393274.
  15. ↑ "Prostate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health".
  16. ↑ Hochreiter W, Knoll T, Hess B (February 2003). "[Pathophysiology, diagnosis and conservative therapy of non-calcium kidney calculi]". Ther Umsch (in German). 60 (2): 89–97. doi:10.1024/0040-5930.60.2.89. PMID 12649987.
  17. ↑ Trinchieri A (February 2013). "Diet and renal stone formation". Minerva Med. 104 (1): 41–54. PMID 23392537.
  18. ↑ Cohen HT, McGovern FJ (2005). "Renal-cell carcinoma". N Engl J Med. 353 (23): 2477–90. doi:10.1056/NEJMra043172. PMID 16339096.
  19. ↑ Pons F, Orsola A, Morote J, Bellmunt J (2011). "Variant forms of bladder cancer: basic considerations on treatment approaches". Curr Oncol Rep. 13 (3): 216–21. doi:10.1007/s11912-011-0161-4. PMID 21360040.
  20. ↑ Metts MC, Metts JC, Milito SJ, Thomas CR (June 2000). "Bladder cancer: a review of diagnosis and management". J Natl Med Assoc. 92 (6): 285–94. PMC 2640522. PMID 10918764.
  21. ↑ Rom M, Kuehhas FE, Djavan B (2007). "New findings in bladder and prostate cancer: highlights of the 22nd annual congress of the European association of urology, march 21-24, 2007, berlin, Germany". Rev Urol. 9 (4): 214–9. PMC 2199502. PMID 18231618.
  22. ↑ Chung SD, Liu SP, Lin HC (2013). "Association between prostate cancer and urinary calculi: a population-based study". PLoS ONE. 8 (2): e57743. doi:10.1371/journal.pone.0057743. PMC 3581486. PMID 23451265.
  23. ↑ Rom M, Kuehhas FE, Djavan B (2007). "New findings in bladder and prostate cancer: highlights of the 22nd annual congress of the European association of urology, march 21-24, 2007, berlin, Germany". Rev Urol. 9 (4): 214–9. PMC 2199502. PMID 18231618.
  24. ↑ Hochreiter W, Knoll T, Hess B (February 2003). "[Pathophysiology, diagnosis and conservative therapy of non-calcium kidney calculi]". Ther Umsch (in German). 60 (2): 89–97. doi:10.1024/0040-5930.60.2.89. PMID 12649987.
  25. ↑ Flannigan R, Choy WH, Chew B, Lange D (June 2014). "Renal struvite stones--pathogenesis, microbiology, and management strategies". Nat Rev Urol. 11 (6): 333–41. doi:10.1038/nrurol.2014.99. PMID 24818849.
  26. ↑ Pereira DJ, Schoolwerth AC, Pais VM (March 2015). "Cystinuria: current concepts and future directions". Clin. Nephrol. 83 (3): 138–46. PMID 25685869.
  27. ↑ Pereira DJ, Schoolwerth AC, Pais VM (March 2015). "Cystinuria: current concepts and future directions". Clin. Nephrol. 83 (3): 138–46. PMID 25685869.
  28. ↑ Rosen DA, Hooton TM, Stamm WE, Humphrey PA, Hultgren SJ (2007). "Detection of intracellular bacterial communities in human urinary tract infection". PLoS Med. 4 (12): e329. doi:10.1371/journal.pmed.0040329. PMC 2140087. PMID 18092884.
  29. ↑ Franco AV (2005). "Recurrent urinary tract infections". Best Pract Res Clin Obstet Gynaecol. 19 (6): 861–73. doi:10.1016/j.bpobgyn.2005.08.003. PMID 16298166.
  30. ↑ Franco AV (2005). "Recurrent urinary tract infections". Best Pract Res Clin Obstet Gynaecol. 19 (6): 861–73. doi:10.1016/j.bpobgyn.2005.08.003. PMID 16298166.
  31. ↑ John N. Krieger, Ulrich Dobrindt, Donald E. Riley & Eric Oswald (2011). "Acute Escherichia coli prostatitis in previously health young men: bacterial virulence factors, antimicrobial resistance, and clinical outcomes". Urology. 77 (6): 1420–1425. doi:10.1016/j.urology.2010.12.059. PMID 21459419. Unknown parameter |month= ignored (help)
  32. ↑ Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.


References

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