Urological History & Examination

Dr. Abdelmoniem ElTraifi

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?

Chief Complaint
Main Complaint
Complain Of ( C/O)

History of the presenting Symptom

Elaborate

the symptom.
Elaborate the system involved.
What had been done for the patient?

Common Urology Presentations

Pain
Site
Onset
Character
Severity
Radiation
Associated

Symptoms
Timing ( duration, course, pattern)
Exacerbating & Relieving Factors

Pain
Renal

Ureteric

Other causes of pain, Radiculitis

Vesical Pain
Prostatic pain
Testicular
Epididymal
Back

Others related to stone pathology

Passage

of stone
Previous Treatment for stones
Haematuria
Bronchial Asthma & Allergy
Trauma
LUTS

Lower Urinary Tract Symptoms

(LUTS)

Causes
Males,

according to age group

Females,

according to age group

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

Storage (Irritaive)
Frequency
Nocturia
Urgency
Urge

incontinence

Post void Symptoms

Post

void Dribbling

Sense

of residual urine

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

Incontinence
True
Stress
Urge
Paradox
Enuresis

( overflow, false)

Dysuria ( Burning urination)

Pneumaturia
Cloudy urine
Oligouria & Anuria
Urethral Discharge
Renal failure Symptoms

Haematuria

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

Scrotal conditions, swellings

Other genito-urinary masses
Duration
How

noticed?
Change
Disappear
Associated symptoms
Increased by cough etc
Heavy lifting
Chronic cough, constipation, urinary
symptoms.
Other masses

Male
Sexual

Infertility
Disorders

Systemic Review
Fever,

weight loss

CNS
Cardio,

respiratory and vascular

GI
Locomotors

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

Family History
Similar

conditions
DM, Hypertension
Bleeding Disorders& Sickle cell disease

 Social

History & Habits

Drug History and allergy

Examination

Pallor, Jaundice
Loss of weigh, over weight
Cervical Lymph nodes

Abdominal Examination

Kidneys

Urinary Bladder

Scrotal masses
Inspection
Site
Size
Shape
Skin
Cough

impulse

Palpation
Temp.
Tenderness
Consistency
Others according
to diagnosis

Genital Examination

Transillumination

Per- rectal Examination

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