Common urinary histories - Polyuria Flashcards

1
Q

What would you ask about the symptom of polyuria?

A
  • Duration
  • Onset
  • Progression
  • Timing
  • Volume
  • Frequency
  • Fluid intake
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2
Q

What general symptoms would you want to ask about in someone with polyuria?

A
  • Fever
  • Sweats
  • WEight loss
  • Malaise
  • Joint pain/swelling
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3
Q

What urological questions would you want to ask about on systematic enuiry of someone with polyuria?

A
  • Storage - urgency, nocturia
  • Infection - dysuria, haematuria, odour, discharge
  • Prostatic - hesitancy, poor flow, dribbling, incomplete emptying
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4
Q

What features assocaited with polyura would suggest diabetes as the cause?

A
  • Polydipsia
  • Weight loss
  • Tiredness
  • Visual disturbance
  • Thrush infection
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5
Q

What features associated with polyuria suggest diabetes insipidus?

A

Polydipsia and polyuria - even when fluid intake stopped

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6
Q

What features assocaited with polyuria would suggest CKD?

A

Non-specific symptoms - fatigue, weakness, pruritis, dyspnoea

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7
Q

What are causes of polyuria?

A
  • DM
  • Diabetes insipidus
  • CKD
  • UTI
  • Cushing’s syndrome
  • Psychogenic polydipsia
  • Drugs
  • Postobstructive diuresis
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8
Q

What drugs can cause polyuria?

A
  • Diuretics
  • Alcohol
  • Lithium
  • Tetracyclines
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