History Taking; GU Flashcards Preview

Ethics and Clinical MD3002 > History Taking; GU > Flashcards

Flashcards in History Taking; GU Deck (19)
Loading flashcards...
1
Q

Describe what the following means;

  • Dys,
  • Haemat,
  • Noct,
  • An,
  • Oli,
  • Poly
A
  • Dys = Pain
  • Haemat = blood
  • Noct = night
  • An = none
  • Oli = small
  • Poly = lots
2
Q

Urinary questions to ask

A
  • Dysuria?
  • Nocturia?
  • Macroscopic haematuria? (Microscopic would be blood seen on urine dip stick)
  • Polyuria? (More than 2.5-3L in 24 hours)
  • Oliguria?
  • Anuria
  • Terminal dribbling?
  • Hesitancy?
  • Incomplete emptying?
3
Q

What can be some of the causes of oliguria or anuria?

A
  • Obstruction (suprapubic pain with intense desire to micturate)
  • Hypovolaemia (dehydrated)
  • Acute kidney injury or renal failure
4
Q

Describe the different types of incontinence

A

Stress - Sphincter weakness that causes small leak of urine when intra-abdominal pressure rises.

Urge - Detrusor instability, strong desire to void and rush to go.

Overflow - Usually due to outflow obstruction, leak small amounts and distended bladder palpable.

Neurological - Loss of sensation which can result in lack of control

5
Q

What associated symptoms should you discuss?

A

Vomiting, fever, malaise, anorexia, weight loss, fatigue and lack of energy

6
Q

What is pyelonephritis?

A

Kidney infection where is has begun as a UTI but treavelled up to 1 or both kidneys.

7
Q

What symptoms would indicate an enlarged prostate?

A

Slow flow, hesitancy, incomplete emptying, dribbling, noturia.

8
Q

Name some symptoms of an upper urinary tract infection

A
  • Dull ache in flank, Polyuria to anuria. Some causes can be tumour, stricture or calculi
9
Q

Name some symptoms of bladder outlet obstruction

A

Hesitancy, poor stream, terminal dribbling, sense of incomplete emptying, possible retention.

10
Q

What are key symptoms to enquire in a male repro history

A
  • Urinary symptoms,
  • Abdo pain,
  • Systemic upset,
  • Urethral discharge,
  • Testicular pain,
  • Testicular lumps,
  • Joint, eye or GI symptoms (consider reiter’s),
  • Ulcers/warts,
  • Itch,
  • Smell,
  • Rash,
  • Fertility,
  • Partners
11
Q

What is a testicular torsion?

A

Occurs when the testicles rotate causing the spermatic cord to twist

12
Q

What are some key symptoms when taking a female repro history?

A
  • Urinary symptoms,
  • Abdo/pelvic pain,
  • Systemic upset,
  • Dyspareunia,
  • Dysmenorrhoea,
  • Menorrhagia,
  • Inter Menstrual Bleeding,
  • Post Menopausal bleeding,
  • Post Coital Bleeding,
  • Vaginal dryness,
  • Itch,
  • Smell,
  • Rash,
  • Possibility of pregnancy?
  • Fertility problems?
  • Partner?
  • Smear history
13
Q

What is Amenorrhoea?

A

It there is no period by the age of 14 if there is an abcense of secondary sexual characteristics and 16 if other features develop normally.

14
Q

What classes as premature menopause?

A

Menopause before 40 years old

15
Q

How do you write about a patients last menstrual period in notes?

A

x/y where x = usual length of each period and Y = number of days from the start of 1 period to the next.

16
Q

What does para and gravida mean?

A

Gravida = Number of times a woman has been pregnant.

Para = Number of times she has given birth to a foetus with a gestational age of 24+ weeks

17
Q

What else is taken in obstetric history?

A

Pregnancy complications, mode of delivery and postnatal complications

18
Q

What should be asked psycho sexual history?

A
  • relationship details, impotence/erectile dysfunction, intercourse and sexual practices, libido, orgasm and contraception.
19
Q

What are some relevant GU questions for PMH?

A
  • Any previous GI illness,
  • Urinary tract stones,
  • Previous STIs,
    Previous pelvic inflammation disease,
  • Previous ectopic pregnancy,
  • Previous testicular problems,
  • Recurrent UTIs,
  • Renal disease,
  • Previous surgery