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

2. 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?

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

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

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

6. 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

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

8. Social History & Habits
Drug History and allergy

9. Short History Taking
Elaborate the symptom.
Include what is relevant

10. Common Urology Presentations

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

12. Pain
Renal
Ureteric

13. Other causes of pain, Radiculitis

14. Vesical Pain
Prostatic pain
Testicular
Epididymal
Back

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

16. 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.

17. Storage (Irritaive )
Frequency
Nocturia
Urgency
Urge incontinence

18. Post void Symptoms
Post void Dribbling
Sense of residual urine

19. Incontinence
True
Stress
Urge
Paradox ( overflow, false)
Enuresis

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

21. Pre-renal
Renal
Post-renal
Haematuria

22. 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

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

24. Abdominal Examination

26. Kidneys

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

28. hernia

29. hernia

30. Hydrocele

31. Transillumination

32. Varicocele

33. Varicocele

34. Per- rectal Examination

36. Back