Examination of Urinary Case

HISTORY

• • Age-

  • Sex-

  • Residence-

  • Social status-

  • Occupation-

COMPLAINTS-

• 1. Pain-

  2. Swelling-

  3. Haematuria- Bloody Urine is a dangerous symptom which cannot be ignored. Inquiry must be made about its quantity, its relation to micturition - whether blood appears at the beginning of the act (urethral), towards the end of the act (vesical) or is intimately mixed throughout the process (prerenal, renal or vesical). Whether haematuria is associated with pain or not? Some individuals will pass red urine after eating beets or taking laxatives containing phenolphthalein, in which case the urine is translucent and does not contain red cells. Sometimes children may pass red urine following haemolytic syndromes may also cause the urine to be red.

  4. Frequency of micturition-

  5. Difficulty in urination-

  6. Retention of urine-

  7. Anuria-

  8. Discharge from the urethra-

  9. Incontinence-

  10. Renal failure-

  11. Gastrointestinal syndromes-

Past History-

PHYSICAL EXAMINATION

A. General Survey-

B. Local Examination-

• 1. Examination of the Kidney-

     • INSPECTION:

     • PALPATION:

     • PERCUSSION:

     • AUSCULTATION:

  2. Examination of the Ureter-

  3. Examination of the Urinary Bladder-

  4. Examination of the Prostate-

  5. Examination of the Urethra-

  6. Examination of the External Genitalia-

  7. Examination of the Perineum-

  8. Rectal Examination-

Special investigations for Urinary case