Urological Flashcards Preview

Phase 4: OSce > Urological > Flashcards

Flashcards in Urological Deck (10)
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1
Q

Lower urinary tract symptoms: filling

A

urgency, frequency, nocturia

2
Q

Lower urinary tract symptoms: voiding

A
Dysuria,
hesitancy, 
poor flow, 
incomplete emptying, 
dribbling, 
straining, 
spraying
3
Q

LUTS: incontinence

A
stress
urge
overflow
continous
enuresis
4
Q

Haematuria questions

A
Duration
Time within the stream
Presence of clots
Pain: suggestive of renal calculus or infection
Painless: suggestive of carcinoma 
Fever & rigors
Trauma & exercise
5
Q

symptoms of UTI

A
Dysuria
Frequency
Urgency
Stragury
Fever
Acute confusion
6
Q

Symptoms of chronic renal failure

A
Oliguria 
Nocturia
Polyuria
Anorexia
Insomnia
Metabolic taste
Vomiting 
Anaemia: EPO deficiency
Fatigue
Oedema
Bruising and bleeding
7
Q

Drug history

A

Medications can change urine colour - rifampicin (red)

8
Q

Social history

A

All the standard one
OCCUPATION: tubber & dyes –> bladder cancer
Sexual history

Beetroot –> urine red

9
Q

What are some key urological symptoms and the associated pathology

A

Dysuria - UTI, STI

Frequency - UTI

Urgency - UTIs or detrusor instability

Nocturia - UTIs and prostate enlargement

Haematuria - UTIs, trauma e.g. catheter, renal tract ca

Urinary hesistancy, terminal dribbling, poor urinary stream - prostate enlargement

Urinary incontinence - UTI, detrusor instability and spinal cord compression

Fevers and rigors - Pyelonephritis

Nausea and vomiting - pyelonephritis

Weight loss - malignancy and uraemia

N&V, fatigue, anorexia, weight loss, muscle cramps, pruritus and confusion - URAEMIC

10
Q

How would you do a urology focussed systems review

A

Systemic - fevers, weight change

Cardio - palpitations (electrolyte derangement), chest pain (uraemic pericarditis)

Respiratory - dyspnoea (pulmonary oedema secondary to renal failure

GI - abdo pain (peritoneal dialysis associated infection)

Neuro - confusion (uraemic encephalopathy)

MSK - muscle wasting - end-stage renal failure

Derm - uraemic frost