An 18-year-old healthy female college student presents for a…
An 18-year-old healthy female college student presents for a routine well exam and required college vaccinations. She reports regular monthly menstrual cycles but notes heavier-than-usual flow over the past few months. Today, she also reports waking with dysuria. She denies fever, vaginal discharge, urinary frequency, malaise, dizziness, chest pain, or recent sexual activity. Her vitals are stable, and physical exam is unremarkable. Urinalysis is positive for leukocyte esterase and specific gravity of 1.030, but negative for nitrites, blood, and protein. Hemoglobin is 12.6 g/dL. Which of the following is the most appropriate differential diagnosis to consider?
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