specific questions to ask in a urological history Flashcards
GU system enquiry questions
any incontinence
frequency, dysuria, nocturia
hesitancy, dribbling
change in quantity or colour of urine
any blood in urine
any genital rashes/lumps
menstrual cycle
any chance could be pregnant
specific lower urinary tract symptoms questiosn
voiding - dysuria, hesitancy, poor flow, incomplete emptying, dribbling, straining to urinate, spraying of urine
filling - urgency, frequency, nocturia
incontinence - stress, urge, overflow, continuous, nocturnal enuresis (bedwetting)
specific haematuria questions
how often
when does it occur during urination
is there clots
is it painful?
any fevers/rigors
any trauma/exercise
specific questions for suspected UTI
dysuria
frequency
urgency
painful small quantities of urine, expelled slowly by straining/severe urgency
incomplete micturition
fever
acute confusion
symptoms to ask about in chronic renal failure
oliguria
nocturia
ployuria
anorexia
insomnia
metallic taste in mouth
vomiting
anaemia
fatigue
prutitus
oedema
bruining/bleeding
sallow complexion
uraemic fetor
specific PMHx for urological history
recent STDs
obstetric history
diabetes
any uro surgeries - TURP
social history for urological history
occupation - dye/rubber/ plastics/textiles/leather staining industry
excessive beetroot consumption
family history specific questions for urological history
any known polycycstic kidney disease
any known bladder/kidney/prostate problems
red flag symptoms for prostate cancer
erectile dysfunction
visible haematuria
lower back pain
bone pain
weight loss
anorexia
lethargy
red flags for bladder cancer
haematuria
recurrent/persistent UTI
dysuria
urinary frequency
weight loss
LUTS questions for women
do you leak urine if you sneeze/cough/exercise
any menstrual abnormalities
ovarian cancer red flag symptoms
abdo distnesion
early satiety and/or less apetite
pelvic/abdo pain
increased urgency/freq
age>50 with symptoms of IBS
weight loss
fatigue
change in bowe habit
