Clinical cluesSuggested diagnoses
DysuriaInterstitial cystitis (pelvic pain syndrome), prostatitis, urinary tract infection, vaginitis
Fever, chillsNonspecific response to infection or inflammation (e.g., pyelonephritis)
HematuriaBenign prostatic hyperplasia, renal glomerular disease, urinary tract infection, uroepithelial or prostatic tumor
Nausea, vomitingGastrointestinal disease, intestinal or urinary obstruction, nonspecific response to pain
Pain and tenderness
  • Abdominal

Acute mesenteric ischemia, cholecystitis, gastrointestinal disease, leaking abdominal aortic aneurysm
  • Flank

Dysmenorrhea, herpes zoster, musculoskeletal inflammation or spasm, pyelonephritis, referred pain from gallbladder (on right side), rupture or torsion of ovarian cyst
  • Groin or pelvis

Ectopic pregnancy, hernia, ovarian pathology, pelvic inflammatory disease, pelvic pain syndrome, prostatitis, testicular mass, testicular torsion, urethritis, vaginitis
  • Suprapubic

Interstitial cystitis, peritonitis, prostatitis, urinary calculi, urinary tract infection
Urinary frequencyBenign prostatic hyperplasia, bladder spasms, high fluid intake, hyperglycemia, urinary tract infection