urological history & examination dr. abdelmoniem eltraifi
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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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