urological history & examination.ppt
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Urological History & ExaminationUrological History & Examination
Dr. Abdelmoniem ElTraifi
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HistoryHistoryPersonal Data ( Patient Demography)• Name & File number ( Medical record number)
• Age• Sex
• Religion
• Marital status
• ccu!ation
• Residence
• Date and Time
• "#o ga$e t#e #istor%
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Chief ComplaintChief Complaint
Main ComplaintMain ComplaintComplain Of ( C/O)Complain Of ( C/O)
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'istor% of t#e !resenting S%m!tom'istor% of t#e !resenting S%m!tom
Elaorate the symptom!
Elaorate the system in"ol"e#!
$hat ha# een #one for the patient%
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ommon rolog%ommon rolog% *resentations*resentations
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PainPainite
Onset
Character
e"erity
'a#iation
ssociate# ymptoms
iming ( #*ration+ co*rse+ pattern)Exacerating & 'elie"ing ,actors
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PainPain'enal
Ureteric
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t#er causes of !ain+ Radiculitist#er causes of !ain+ Radiculitis
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Vesical Pain
Prostatic pain
Testicular
Epididymal
Back
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Others relate# to stone pathologyOthers relate# to stone pathology
Passage of stone
Previous Treatment for stones
Haematuria
Bronchial Asthma & Allergy
TraumaLUT
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,,o-ero-er rinar%rinar% TTractract SS%m!toms%m!toms
((,TS,TS))
!auses"ales# according to age group
$emales# according to age group
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,o-er rinar% Tract S%m!toms,o-er rinar% Tract S%m!toms
(,TS)(,TS)
Voiding (Obstructive)HesitancyLoss of force and decrease of cali%er of the
streamtraining for voiding
'nterruption of the urinary streamTerminal dri%%ling(etention) acute and chronic
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Storage (rritai$e)Storage (rritai$e)
$re*uency
+octuriaUrgency
Urge incontinence
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*ost $oid S%m!toms*ost $oid S%m!toms
Post void ,ri%%ling
ense of residual urine
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,TS ot#er im!ortant *oints,TS ot#er im!ortant *oints
History of DM
Urological interventionCNS problems and symptoms
Haematuria
Previous urinary retention
urning Micturation and !ebrile U"#
Drugs inta$e
Constipation
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ncontinencencontinencer*e
tressUrge
Para#ox ( o"erflo-+ false)
En*resis
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Dys*ria ( .*rning *rination)
Pne*mat*ria
Clo*#y *rine Oligo*ria & n*ria
Urethral Discharge
'enal fail*re ymptoms
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Haemat*riaHaemat*ria
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%ge
&esidency'
Duration' Occupation
Painless or painul
"iming o aematuria
%mount o bleeding
Clots and sape o clots
"rauma leeding rom oter sites
%ssociated Symptoms urinary and Systemic
leeding disorders* SC* "* ilar+ias , stone disease'
!amily History o Malignancy or ematological disorders'
Drugs
Colored ood or drin$s'
Smo$ing
'aematuria'aematuria
http://www.mediclub.pl/mlodychirurg/testes/testesim/hydrocele1.jpghttp://www.mediclub.pl/mlodychirurg/testes/testesim/hydrocele1.jpg
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Scrotal conditions+ s-ellingsScrotal conditions+ s-ellings
t#er genito/urinar% massest#er genito/urinar% masses
Duration'o- noticed#angeDisa!!ear Associated s%m!toms ncreased b% coug# etc'ea$% lifting#ronic coug#+ consti!ation+ urinar%
s%m!toms.t#er masses
http://www.mediclub.pl/mlodychirurg/testes/testesim/hydrocele1.jpghttp://www.mediclub.pl/mlodychirurg/testes/testesim/hydrocele1.jpg
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Male nfertility
ex*al Disor#ers
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ystemic 'e"ie-ystemic 'e"ie-
,e"er+ -eight loss
C0Car#io+ respiratory an# "asc*lar
1
2ocomotors
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Past HistoryPast HistoryDm+ '%!ertension0ronc#ial Ast#ma0leeding disorders & Sic1le cell diseaseTransfusionT0+ S%!#ilis+ 0il#ar2ias*assage of stones
0lood transfusion!erations+ rological and non rological+ RTA
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Famil% 'istor%Famil% 'istor%
imilar con#itions
DM+ Hypertension .lee#ing Disor#ers& Sic1le cell disease
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ocial History & Haits
Dr*g History an# allergy
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ExaminationExamination
Pallor+ 3a*n#ice
2oss of -eigh+ o"er -eight
Cer"ical 2ymph no#es
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#ominal Examination #ominal Examination
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4i#neys4i#neys
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Urinary .la##er Urinary .la##er
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Scrotal massesScrotal masses
nspectionite
i5ehape
6in
Co*gh imp*lse
Palpation
emp!
en#erness
Consistency
Others accor#ingto #iagnosis
1 it l E i ti1 it l E i ti
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1enital Examination1enital Examination
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Transillumination
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Per7 rectal ExaminationPer7 rectal Examination
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.ac6.ac6
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