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Suprapubic pain

  • Common ddx

    • UTI, cystitis, urinary retention, BPH, trauma
  • Don't miss

    • bladder cancer, endometrial cancer
  • Labs

    • CBC
    • UA
    • cystoscopy if suspect malignancy (hematuria, smoker)
    • endometrial biopsy of postmenopausal woman with vaginal bleeding
  • Other ddx

    • vesicular stone, endometritis
  • ROS

    • quality, quantity, alleviation, aggravation
    • fever, wt loss
    • trauma
    • dysuria, hematuria, urethral discharge, difficulty initiating stream
    • nausea, vomiting, diarrhea, constipation, blood in stool
    • LMP, new sexual partners, vaginal discharge, vaginal bleeding
    • smoking hx
  • PX

    • inspection: guarding, distention
    • palpation: tenderness, rebound, mass
    • prostate exam if middle aged male with difficulty initiating stream

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.