Polyuria Flashcards
Timeframe
Duration
Onset
Progression
Timing
Polyuria
Quantify urinary volume and frequency Quantify fluid intake Other symptoms Nocturia Thirsty
Relevant systems review
General- FWARJCT
Urological
Storage
Infection
Prostatic/ voiding (men)
Dysuria, haematuria, discharge, incontinence, abdominal pain
Women- prolapse (feeling of fullness or dropping sensation from pelvis), anything protrude from vagina (when straining), how many children, how were they born, big babies, menopause
Diabetes Mellitus
Polydipsia, polyuria
Weight loss and tiredness
Visual disturbance
If young, may present with DKA
Diabetes insipidus
Polydipsia, polyuria
Huge quantities of very dilute urine (almost pure urine)
Nocturia
CKD
Non specific symptoms eg. Fatigue, weakness, pruritis, dyspnoea
Others
UTI Psychogenic polydipsia Diuretic use Post obstructive diuresis Hypercalcaemia Hypokalaemia (laxative abuse)
Patients perspective
Feelings and impact on life
ICE
Background
PMH- diabetes
DH- diuretics
FH- DM, renal
SH
UTI
Refer to earlier slides
Hyperactive bladder
Severe urgency, nocturia, frequency, possibly incontinence
May be a past history of neurological conditions such as PD, stroke, spinal cord disease
Genito urinary prolapse
Older women
Urinary frequency, recurrent UTI, stress or urge incontinence, fullness sensation in vagina
Risks- multiple vaginal deliveries, menopause, obesity, complicated vaginal delivery, hysterectomy
BPH
See previous slides
