urological history & examination dr. abdelmoniem eltraifi

Urological History & ExaminationUrological History & Examination

Dr. Abdelmoniem ElTraifi

HistoryHistoryPersonal Data ( Patient Demography)

• Name & File number ( Medical record number)• Age• Sex• Religion• Marital status• Occupation• Residence• Date and Time• Who gave the history?

Chief ComplaintChief ComplaintMain Complaint Main Complaint

Complain Of ( C/O) Complain Of ( C/O)

History of the presenting SymptomHistory of the presenting Symptom

Elaborate the symptom.Elaborate the system involved.What had been done for the patient?

Common Urology Common Urology PresentationsPresentations

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

PainPainRenal

Ureteric

Other causes of pain, RadiculitisOther causes of pain, Radiculitis

Vesical PainProstatic painTesticularEpididymalBack

Others related to stone pathologyOthers related to stone pathology

Passage of stonePrevious Treatment for stones Haematuria Bronchial Asthma & Allergy TraumaLUTS

LLower ower UUrinary rinary TTract ract SSymptoms ymptoms ((LUTSLUTS))

Causes Males, according to age group

Females, according to age group

Lower Urinary Tract Symptoms Lower Urinary Tract Symptoms (LUTS)(LUTS)

Voiding (Obstructive)HesitancyLoss of force and decrease of caliber of the

stream.Straining for voidingInterruption of the urinary streamTerminal dribbling. Retention: acute and chronic

Storage (Irritaive)Storage (Irritaive)

FrequencyNocturiaUrgencyUrge incontinence

Post void SymptomsPost void Symptoms

Post void Dribbling

Sense of residual urine

LUTS other important PointsLUTS other important Points

History of DM Urological intervention CNS problems and symptoms Haematuria Previous urinary retention Burning Micturation and Febrile UTI Drugs intake Constipation

IncontinenceIncontinence

TrueStressUrgeParadox ( overflow, false)Enuresis

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

HaematuriaHaematuria

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

HaematuriaHaematuria

Scrotal conditions, swellingsScrotal conditions, swellingsOther genito-urinary massesOther genito-urinary masses

Duration How noticed? Change Disappear Associated symptoms Increased by cough etc Heavy lifting Chronic cough, constipation, urinary

symptoms. Other masses

Male Infertility

Sexual Disorders

Systemic ReviewSystemic ReviewFever, weight lossCNSCardio, respiratory and vascularGILocomotors

Past HistoryPast 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 HistoryFamily History

Similar conditions DM, Hypertension Bleeding Disorders& Sickle cell disease

Social History & HabitsDrug History and allergy

ExaminationExamination

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

Abdominal ExaminationAbdominal Examination

KidneysKidneys

Urinary BladderUrinary Bladder

Scrotal massesScrotal massesInspection Site Size Shape Skin Cough impulse

PalpationTemp.TendernessConsistencyOthers according

to diagnosis

Genital ExaminationGenital Examination

Transillumination

Per- rectal ExaminationPer- rectal Examination

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