Urological History & Examination

1. Urological History & Examination Dr. Abdelmoniem ElTraifi

2. History • Personal Data ( Patient Demography) • Name & File number ( Medical record number) • Age • Sex • Religion • Marital status • Occupation • Residence • Date and Time • Who gave the history?

3. Chief ComplaintMain Complaint Complain Of ( C/O) Duration

4. History of the presenting Symptom • Elaborate the symptom. • Elaborate the system involved. • What had been done for the patient?

5. Common Urology Presentations

6. Pain • Site • Onset • Character • Severity • Radiation • Associated Symptoms • Timing ( duration, course, pattern) • Exacerbating & Relieving Factors

7. Pain • Renal • Ureteric

9. Other causes of pain, Radiculitis

10. Vesical Pain • Prostatic pain • Testicular • Epididymal • Back

11. Others related to stone pathology • Passage of stone • Previous Treatment for stones • Haematuria • Bronchial Asthma & Allergy • Trauma • LUTS

12. Lower Urinary Tract Symptoms (LUTS) Causes • Males, according to age group • Females, according to age group

13. Lower Urinary Tract Symptoms (LUTS) Voiding (Obstructive) • Hesitancy • Loss of force and decrease of caliber of the stream. • Straining for voiding • Interruption of the urinary stream • Terminal dribbling. • Retention: acute and chronic

14. Storage (Irritaive) • Frequency • Nocturia • Urgency • Urge incontinence

15. Post void Symptoms • Post void Dribbling • Sense of residual urine

16. LUTS other important Points History of • DM • Urological intervention • CNS problems and symptoms • Haematuria • Previous urinary retention • Burning Micturation and Febrile UTI • Drugs intake • Constipation

17. Incontinence • True • Stress • Urge • Paradox ( overflow, false) • Enuresis

18. Dysuria ( Burning urination) • Pneumaturia • Cloudy urine • Oligouria & Anuria • Urethral Discharge • Renal failure Symptoms

19. Pre-renal Haematuria Renal Post-renal

20. Haematuria • Age • Residency. • Duration. • Occupation • Painless or painful • Timing of haematuria • Amount of bleeding • Clots and shape of clots • Trauma • Bleeding from other sites • Associated Symptoms urinary and Systemic • Bleeding disorders, SC, TB, Bilharzias & stone disease. • Family History of Malignancy or hematological disorders. • Drugs • Colored food or drinks. • Smoking

21. Scrotal conditions, swellingsOther genito-urinary masses • Duration • How noticed? • Change • Disappear • Associated symptoms • Increased by cough etc • Heavy lifting • Chronic cough, constipation, urinary symptoms. • Other masses

22. Male Infertility • Sexual Disorders

23. Systemic Review • Fever, weight loss • CNS • Cardio, respiratory and vascular • GI • Locomotors

24. Past History • Dm, Hypertension • Bronchial Asthma • Bleeding disorders & Sickle cell disease • Transfusion • TB, Syphilis, Bilharzias • Passage of stones • Blood transfusion • Operations, Urological and non Urological, RTA

25. Family History • Similar conditions • DM, Hypertension • Bleeding Disorders& Sickle cell disease

26. Social History & Habits • Drug History and allergy

27. Examination • Pallor, Jaundice • Loss of weigh, over weight • Cervical Lymph nodes

28. Abdominal Examination

30. Kidneys

31. Urinary Bladder

32. Inspection Site Size Shape Skin Cough impulse Palpation Temp. Tenderness Consistency Others according to diagnosis Scrotal masses

33. Genital Examination

34. hernia

35. hernia

36. hernia

37. hernia

38. Hydrocele

39. Hydrocele

40. Transillumination

41. Varicocele

42. Per- rectal Examination

44. Back