urinary (incl male genitalia + prostate) Flashcards
urinary systemic enquiry
frequency dysuria nocturia polyuria oliguria haematuria incontinence/urgency prostatic: difficulty, poor stream, terminal dribble
causes dysuria
UTI, STI
causes frequency
UTI
causes urgency
UTI, detrusor instability
causes nocturia
UTI, prostatic enlargement (e.g. BPH)
causes haematuria
UTI, renal Ca, bladder Ca, trauma
symptoms prostatic enlargemnet
hesitancy
dribbling
poor stream
nocturia
renal causes fever + rigor
pyelonephritis
renal causes weight loss
malignancy
uraemia
uraemic symptoms
nausea + vomitting fatigue anorexia/weight loss muscle cramps pruitis confusion
inspection male genitaili
hair distribution rashes/nodules swellings, scars, varicoele urethral meatus for stenosis presence/absence foreskin glans penis for inflammation, ulcers, tumours
palpation sctorum
size
consistency
rexture
normally soft, smooth, ovoid, sensitive to pressure
epidydymis for nodules/swellings
spermatic cord for varicoele
if swelling of scrotum
is it mobile?
is there cough impulse?
is is fluctulant (fluid containing) or solid?
does swelling transilluminate? yes: cystic, no; solid