Common urinary histories - Frequency/dysuria/nocturia

Question 1

What would you want to ask about frequency/dysuria/nocturia?

Answer 1

• Duration
• Onset
• Progression
• Timing
• Volume
• Catheter in situ?

Question 2

What would you want to ask about on systemic enquiry?

Answer 2

• Fever/sweats/rigors
• Urological symtpoms
• Storage - frequency, voluem, urgency, nocturia, incontinence
• Infection - dysuria, haematuria, odour, discharge, lumps
• Prostatic - dribbling, stream, hesitancy, incomplete emptying

Question 3

What features of frequency/dysuria/nocturia would suggest cystitis as the cause?

Answer 3

• Dysuria
• Frequency
• Urgency

Question 4

What features of frequency/dysuria/nocturia would suggest urethritis as the cause?

Answer 4

• Dysuria
• Purulent urethral discharge

Question 5

What features of frequency/dysuria/nocturia would suggest pyelonephritis as the cause?

Answer 5

• Dysuria
• Loin pain
• Fever/chills/rigors
• Vomiting

Question 6

What features of frequency/dysuria/nocturia would suggest BPH as the cause?

Answer 6

• Poor flow
• Terminal dribbling
• Hesitancy
• Overflow incontinence
• Elderly male

Question 7

What are causes of frequency/dysuria/nocturia?

Answer 7

• Cystitis
• Urethritis
• Pyelonephritis
• BPH
• Anxiety
• detrusor instability
• Bladder/lower urethral calculus
• Prostatitis
• Pregnancy
• Drugs