History Taking in Urology Flashcards
(26 cards)
What is dysuria?
Painful urination
What is the approach to pain?
SOCRATES
What are storage symptoms?
Symptoms due to insufficient storage
Frequency Polyuria (2500mL/day) Oliguria (400mL/day) Anuria (100mL/day) Urgency
What are voiding symptoms?
Symptoms due to insufficient micturition
Dysuria Hesitancy Straining Stream Dribbling Feeling fullness
What is the difference between polyuria, oliguria and anuria?
Polyuria (2500mL/day)
Oliguria (400mL/day)
Anuria (100mL/day)
State some associated symptoms.
- Fevers
- Rigors
- Chills
- Suprapubic discomfort
- Storage Sx: Frequency/ Urgency /Polyuria/Oliguria/Anuria
- Urgency Sx: Hesitancy/ Straining/ Stream/ Dribbling/ Feeling of fullness
- Timing
- Exacerbating/Relieving
- Severity: Impact on daily living/ ‘Bothered-ness’
- Previous Episodes
State the PMHx relevant to Urology.
- HTN
- DM
- Inflammatory diseases
- Urolithiasis
- Surgery/Instrumentation/Intervention
- Renal disease: Dialysis / Transplant
State the DHx relevant to Urology.
- Long-term Rx
- Changes to Rx
- OTC: NSAIDs?
- Illicit Drugs
- Herbal medicines
State the FHx relative to Urology.
- HTN
- Stroke
- Diabetes
- Deafness -> Alport Syndrome (Type IV collagen)
- ADPKD
State the SHx relative to Urology.
- Smoking
- Alcohol
- Recreational drug use
- Sexual partners
- Social support
- Occupation
Outline the common SE relevant to Urology
- Psychiatry: Mood/Thoughts/ Social isolation
- Neurological: Focal neurological deficits/ Visual changes/ Headaches/ Loss of balance
- Cardio: Palpitations/Heart rate/ Chest pain
- Resp: SOB/ Chest pain/ Laboured breathing/ Shallow breathing
- GI: ∆ bowel habits/ Stools/ Abdo pain
- MSK: Ostealgia/Myalgia/ Movement difficulties/ Falls
What are Muehrcke’s Lines?
• Muehrcke’s lines (hypoalbuminemia)
What are Lindsay’s nails indicative of?
• Lindsay’s nails (half white and half dark; CKD)
What are prolonged CRT indicative of?
• Fingertip capillary glucose readings (diabetes)
Why may a postural tremor be present in a patient with a Urological condition?
Calcineurin inhibitor
Why may a flapping tremor be present in a patient with a urological condition?
• Flapping tremor (uremia)
Why may a patient with a urological condition and no other relevant PMHx be wearing a hearing aid?
• Hearing aid (Alports)
Why may a patient you examine in Urology have a collapsed nasal bridge?
• Collapsed nasal bridge (Wegeners)
What does an AV fistula feel like?
Palpable fluid thrill (continuous buzzing?)
Why may a patient appear yellow when presenting to Urology?
Jaundice
Uremic frost
Why may a patient demonstrate conjunctival pallor?
• Conjunctival pallor (Anemia)
Why may a patient demonstrate gingival hypertrophy?
• Gingival hypertrophy (immunosuppressed)
Why may a patient demonstrate xantalasma?
• Xanthalasma (hyperlipidemia)
Why may a patient demonstrate a corneal arcus?
• Cornea arcus (hyperlipidemia)
