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Genitourinary History

From Mediwikis

This might be embarrassing or uncomfortable for patients to discuss, so attend to their comfort and privacy, and "normalise" the interview by acting as if it was just another runny nose etc, and the patient will be more forthright.

Note also that the Urinary history overlaps significantly with Gynaecological factors-select those most appropriate from the list below.

Presenting Complaint

Urine

  • Frequency
  • Incontinence
    • Urge-needs to pee, doesn't reach toilet
    • Stress-on laughing, coughing etc.
    • Enuresis- incontinence at night (common and normal in childhood, is it primary (never able to be dry at night) or secondary (was previously dry at night and now is incontinent))
  • Hesitancy
  • Weak Flow
  • Nocturia
  • End Dribble
  • Pain-SOCRATES
  • Blood

General Pain

Discharge

  • Colour

Fever

Sex Problems

Past Medical/Social History

Sexual History

  • How many partners
  • What gender(s)
  • Contraception

Previous STDs Last Menstrual Period

  • Length between and on periods
  • Light or heavy? ICE here.

Diabetes

  • Well Controlled?

Vascular Disease

Previous Urological Problems

Occupation

  • Rubber Industry?
  • Impact & ICE on job

Drugs

  • ACE Inhibitors
  • Digoxin
  • NSAIDS
  • Warfarin
  • Antiplatelets
  • Antibiotics
  • Anticholinergics
  • Alpha Blockers

Family History

  • Mother's menopause(if applicable)
  • Renal Disease
  • APKD
  • Diabetes