Review of systems should seek symptoms suggesting possible causes, including the following: Fever or chills and abdominal or suprapubic pain: Pelvic inflammatory disease (PID) or cystitis Polyuria and polydipsia: New-onset diabetes Past medical history should note risk factors for the following: Candidal infection (eg, recent antibiotic use, diabetes, HIV infection, other immunosuppressive disorders) Fistulas (eg, Crohn disease, genitourinary or gastrointestinal cancer, pelvic or rectal surgery, lacerations during delivery) Sexually transmitted infections (eg, unprotected intercourse, multiple partners) If sexual abuse of a child is suspected, a structured forensic interview based on the National Institute of Child Health and Human Development (NICHD) Protocol can be used.