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
2
Q
What general symptoms would you want to ask about in someone with polyuria?
A
- Fever
- Sweats
- WEight loss
- Malaise
- Joint pain/swelling
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
4
Q
What features assocaited with polyura would suggest diabetes as the cause?
A
- Polydipsia
- Weight loss
- Tiredness
- Visual disturbance
- Thrush infection
5
Q
What features associated with polyuria suggest diabetes insipidus?
A
Polydipsia and polyuria - even when fluid intake stopped
6
Q
What features assocaited with polyuria would suggest CKD?
A
Non-specific symptoms - fatigue, weakness, pruritis, dyspnoea
7
Q
What are causes of polyuria?
A
- DM
- Diabetes insipidus
- CKD
- UTI
- Cushing’s syndrome
- Psychogenic polydipsia
- Drugs
- Postobstructive diuresis
8
Q
What drugs can cause polyuria?
A
- Diuretics
- Alcohol
- Lithium
- Tetracyclines