Urological History & Examination.ppt

8/18/2019 Urological History & Examination.ppt

1/44

Urological History & ExaminationUrological History & Examination

Dr. Abdelmoniem ElTraifi


2/44

HistoryHistoryPersonal Data ( Patient Demography)• Name & File number ( Medical record number)

• Age• Sex

• Religion

• Marital status

• ccu!ation

• Residence

• Date and Time

• "#o ga$e t#e #istor%


3/44

Chief ComplaintChief Complaint

Main ComplaintMain ComplaintComplain Of ( C/O)Complain Of ( C/O)


4/44

'istor% of t#e !resenting S%m!tom'istor% of t#e !resenting S%m!tom

Elaorate the symptom!

Elaorate the system in"ol"e#!

$hat ha# een #one for the patient%


5/44

ommon rolog%ommon rolog% *resentations*resentations


6/44

PainPainite

Onset

Character

e"erity

'a#iation

ssociate# ymptoms

iming ( #*ration+ co*rse+ pattern)Exacerating & 'elie"ing ,actors


7/44

PainPain'enal

Ureteric


8/44


9/44

t#er causes of !ain+ Radiculitist#er causes of !ain+ Radiculitis


10/44

Vesical Pain

Prostatic pain

Testicular

Epididymal

Back


11/44

Others relate# to stone pathologyOthers relate# to stone pathology

Passage of stone

Previous Treatment for stones

Haematuria

Bronchial Asthma & Allergy

TraumaLUT


12/44

,,o-ero-er rinar%rinar% TTractract SS%m!toms%m!toms

((,TS,TS))

!auses"ales# according to age group

$emales# according to age group


13/44

,o-er rinar% Tract S%m!toms,o-er rinar% Tract S%m!toms

(,TS)(,TS)

Voiding (Obstructive)HesitancyLoss of force and decrease of cali%er of the

streamtraining for voiding

'nterruption of the urinary streamTerminal dri%%ling(etention) acute and chronic


14/44

Storage (rritai$e)Storage (rritai$e)

$re*uency

+octuriaUrgency

Urge incontinence


15/44

*ost $oid S%m!toms*ost $oid S%m!toms

Post void ,ri%%ling

ense of residual urine


16/44

,TS ot#er im!ortant *oints,TS ot#er im!ortant *oints

History of DM

Urological interventionCNS problems and symptoms

Haematuria

Previous urinary retention

urning Micturation and !ebrile U"#

Drugs inta$e

Constipation


17/44

ncontinencencontinencer*e

tressUrge

Para#ox ( o"erflo-+ false)

En*resis


18/44

Dys*ria ( .*rning *rination)

Pne*mat*ria

Clo*#y *rine Oligo*ria & n*ria

Urethral Discharge

'enal fail*re ymptoms


19/44

Haemat*riaHaemat*ria


20/44

%ge

&esidency'

Duration' Occupation

Painless or painul

"iming o aematuria

%mount o bleeding

Clots and sape o clots

"rauma leeding rom oter sites

%ssociated Symptoms urinary and Systemic

leeding disorders* SC* "* ilar+ias , stone disease'

!amily History o Malignancy or ematological disorders'

Drugs

Colored ood or drin$s'

Smo$ing

'aematuria'aematuria

http://www.mediclub.pl/mlodychirurg/testes/testesim/hydrocele1.jpghttp://www.mediclub.pl/mlodychirurg/testes/testesim/hydrocele1.jpg


21/44

Scrotal conditions+ s-ellingsScrotal conditions+ s-ellings

t#er genito/urinar% massest#er genito/urinar% masses

Duration'o- noticed#angeDisa!!ear Associated s%m!toms ncreased b% coug# etc'ea$% lifting#ronic coug#+ consti!ation+ urinar%

s%m!toms.t#er masses

http://www.mediclub.pl/mlodychirurg/testes/testesim/hydrocele1.jpghttp://www.mediclub.pl/mlodychirurg/testes/testesim/hydrocele1.jpg


22/44

Male nfertility

ex*al Disor#ers


23/44

ystemic 'e"ie-ystemic 'e"ie-

,e"er+ -eight loss

C0Car#io+ respiratory an# "asc*lar

1

2ocomotors


24/44

Past HistoryPast HistoryDm+ '%!ertension0ronc#ial Ast#ma0leeding disorders & Sic1le cell diseaseTransfusionT0+ S%!#ilis+ 0il#ar2ias*assage of stones

0lood transfusion!erations+ rological and non rological+ RTA


25/44

Famil% 'istor%Famil% 'istor%

imilar con#itions

DM+ Hypertension .lee#ing Disor#ers& Sic1le cell disease


26/44

ocial History & Haits

Dr*g History an# allergy


27/44

ExaminationExamination

Pallor+ 3a*n#ice

2oss of -eigh+ o"er -eight

Cer"ical 2ymph no#es


28/44

#ominal Examination #ominal Examination


29/44


30/44

4i#neys4i#neys


31/44

Urinary .la##er Urinary .la##er


32/44

Scrotal massesScrotal masses

nspectionite

i5ehape

6in

Co*gh imp*lse

Palpation

emp!

en#erness

Consistency

Others accor#ingto #iagnosis

1 it l E i ti1 it l E i ti


33/44

1enital Examination1enital Examination


34/44


35/44


36/44


37/44


38/44


39/44


40/44

Transillumination


41/44


42/44

Per7 rectal ExaminationPer7 rectal Examination


43/44

.ac6.ac6


44/44

.ac6.ac6

Documents

Urological History & Examination.ppt