Urological History & Examination 351 Students Dr. Farrukh Khan Dr Tarifi

History Personal Data ( Patient Demography) Name & File number ( Medical record number) Age Sex Religion Marital status Occupation Residence Date and Time Who gave the history?

Chief Complaint Main Complaint Complain Of ( C/O) Duration

History of the presenting Symptom Elaborate the symptom. Elaborate the system involved. What had been done for the patient?

Systemic Review Fever, weight loss CNS Cardio, respiratory and vascular GI Locomotors

Past History Dm, Hypertension Bronchial Asthma Bleeding disorders & Sickle cell disease Transfusion TB, Syphilis, Bilharzias Passage of stones Blood transfusion Operations, Urological and non Urological, RTA

Family History Similar conditions DM, Hypertension Bleeding Disorders& Sickle cell disease

Social History & Habits Drug History and allergy

Short History Taking Elaborate the symptom. Include what is relevant

Common Urology Presentations

Pain Site Onset Character Severity Radiation Associated Symptoms Timing ( duration, course, pattern) Exacerbating & Relieving Factors

Pain Renal Ureteric

Other causes of pain, Radiculitis

Vesical Pain Prostatic pain Testicular Epididymal Back

Lower Urinary Symptoms (LUTS) Causes Males, according to age group Females, according to age group

Lower Urinary Symptoms (LUTS) Voiding (Obstructive) Hesitancy Loss of force and decrease of caliber of the stream. Straining for voiding Interruption of the urinary stream Terminal dribbling.

Storage (Irritaive ) Frequency Nocturia Urgency Urge incontinence

Post void Symptoms Post void Dribbling Sense of residual urine

Incontinence True Stress Urge Paradox ( overflow, false) Enuresis

Dysuria ( Burning urination) Pneumaturia Cloudy urine Oligouria & Anuria Polyuria Urethral Discharge Renal failure Symptoms

Pre-renal Renal Post-renal Haematuria

Haematuria Smoking Age Residency. Duration. Occupation Painless or painful Timing of haematuria Amount of bleeding Clots and shape of clots Trauma Bleeding from other sites Associated Symptoms urinary and Systemic Bleeding disorders, SC, TB, Bilharzias & stone disease. Family History of Malignancy or hematological disorders. Drugs Colored food or drinks. Smoking

Examination Pallor, Jaundice Loss of weigh, over weight Cervical Lymph nodes

Abdominal Examination

Kidneys

Scrotal masses Inspection Palpation Temp. Tenderness Consistency Site Size Shape Skin Cough impulse Palpation Temp. Tenderness Consistency Others according to diagnosis

hernia

hernia

Hydrocele

Transillumination

Varicocele

Varicocele

Per- rectal Examination

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