Genitourinary Screen

Question 1

Gender identity

Answer 1

Internal sense of being male, female, or neither

Question 2

Transgender, transsexual, trans, gender non-binary, incongruent

Answer 2

Gender ID does not align with their sex record at birth.

Question 3

Gender Expression

Answer 3

communicates gender ID (appearance, name, pronouns)

Question 4

Cisgender, non transgender

Answer 4

Persons whose gender ID aligns with sex record at birth

Question 5

Gender affirming hormone treatment and surgeries

Answer 5

Medical interventions that transgender persons might consider to alight appearance and gender identity

Question 6

Gender transition, affirmation, confirmation

Answer 6

Overall process of alignment of physical characteristics or gender expression

Question 7

Gender dysphoria

Answer 7

Discomfort due to nonalignment between gender ID and sex recorded at birth Not all trans have dysphoria

Question 8

Dark Brown Urine

Answer 8

Hepatic or biliary obstructive disease Rhabdomylosis

Question 9

Reddish Urine

Answer 9

Occurs with many GI Vegetable dyes, beets

Medications Pyridium

Question 10

Dark yellow/Amber urine

Answer 10

Dehydration

Question 11

Screening Questions for Urine

Answer 11

Do you have any trouble with the bathroom?

How long noticed?

Is there history?

Do you have a upper respiratory tract infection or sore throat?

Have you noticed if it starts clear and changes color?

Associated symptoms? fever?

Question 12

What are possible causes for Increased urine flow (frequency or urgency)

Answer 12

Nocturia = increased frequency at night urgency is hallmark symptom of UTI Increased output = Polyuria (Diabetes)

Question 13

What are possible causes for urine retention?

Answer 13

Obstructive disorders (prostate hyperplasia, BPH) Cauda Equina syndrome (w/ LBP and saddle anesthesia)

Question 14

What are possible causes for dysuria?

Answer 14

Painful urination Common with bacterial infections of urinary tract Cystitis or bladder infection if lower in tract

Question 15

What are possible causes for force of stream or difficulty initiating urine?

Answer 15

BPH

Renal Failure

Question 16

Incontinence 4 types

Answer 16

Common in adults 4 types

Stress: increased pressure (cough sneeze, laugh, exercise)

Urge: strong desire to void with involuntary loss (triggers)

Mixed - combination of stress and urge

Overflow - over distension of the bladder, obstruction by prostate hyperplasia or urethral or genital prolapse

Question 17

What is a red flag with incontinence?

Answer 17

Onset of cx-spine pain concurrent - possible compression of spinal cord - Evaluate/treat for cervical disk protrusion

Question 18

Reproductive tract: Discharge

Answer 18

From penis or vagina = possible infection (UTI)

Possible STD/UTI = needs to be diagnosed and treated to protect overall health and fertility

Questions: is there odor? color? sporadic? associated symptoms itching, local pain, inflammation ,fever, nausea?

Question 19

Reproductive tract: Pain

Answer 19

Dyspareunia = pain during or after intercourse

May report mechanical low back/SI/Hip pain

Mechanical: intercourse position relationship Pelvic floor/organ - regardless of position

Erectile dysfunction - Can be neuralgic in origin (SCI/Hip- Due to post surgical complications or medications Psychogenic or other medical hx (DM)

Question 20

Menstruation

Answer 20

Screening is to ID a change from usual pattern

Asses frequency and length of periods

Dysmenorrhea-associated pain

• Primary
• Due to cycle
• Secondary reproductive organ cause (Endometriosis, pelvic inflammatory disease, fibroids, decreased estrogen)

Amenorrhea - cessation of cycle

• Athletes, anorexia, endocrine disorders, pregnancy

Question 21

Obstetrics History

Answer 21

of pregnancies

Residual sequela, complications or limitations due to pregnancies and deliveries health/fitness prior to pregnacy

Time since delivery

Question 22

Screening in Prenatal and postpartum patient

Answer 22