Urological History & Examination Dr. Abdelmoniem ElTraifi

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)

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

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

Others related to stone pathology Passage of stone Previous Treatment for stones Haematuria Bronchial Asthma & Allergy Trauma LUTS

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

Lower Urinary Tract 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. Retention: acute and chronic

Storage (Irritaive) Storage (Irritaive) Frequency Nocturia Urgency Urge incontinence

Post void Symptoms Post void Dribbling Sense of residual urine

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

Incontinence True Stress Urge Paradox ( overflow, false) Enuresis

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

Haematuria

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. SmokingHaematuria

Scrotal conditions, swellings Other 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 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

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

Abdominal Examination

Kidneys

Urinary Bladder

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

Genital Examination

Transillumination

Per- rectal Examination

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