Urogenital: History (M)
- Presenting complaint
- History of presenting complaint
- Sexual history
- Urinary history
- Past medical, surgical history
- Family, social,
drug history
- What is the problem lately [pt. may omit sexual items, cover with
questions].
- SOCRATES.
- Discharge: colour, consistency, amount.
- Weight changes.
- Feverish.
- Itch, dryness, irritation: relieved by cream?
- Hirsutism, hair loss: severity, how controlled.
- Does it interfere with your day-to-day life.
- General health: good?
- Sexually active.
- Any physical, other difficulties during intercourse.
- Pain during, after intercourse:
• Deep vs. superficial
• Always vs. sometimes.
- Painful erections (priapism).
- On erection, abnormal bend.
- Colour change.
- Blood in urine.
- Pain, burning sensation.
- Frequency, urgency, nocturia
- Amount changes.
- Feeling of incomplete emptying.
- Hesitancy, dribbling.
- Incontinence, overflow incontinence, stress incontinence.
- Similar problem in the past. If so, how treated.
- Previous operations, recent groin injuries.
- Seen a urologist before?
- UTIs, urinary obstructions.
- STD's.
- Hypertension.
- Hemophilia, other bleeding disorders.
- TB, appendicitis.
- Diabetes, gout [urinary].
- Childhood bedwetting after 3 [urinary].
- MI, cerebrovascular dz [urinary].
- Impotency treatments [if impotent].
- The current complaint in parents or siblings: health, cause of death, age of
onset, age of death.
- Hereditary dz suspected: do a family tree.
- Thyroid dz, diabetes.
- ADKD, Alport's [urinary].
- Smoking: ever smoked, how many per day, for how long, type [cigarette,
pipe, chew] (bladder CA).
- Alcohol: do you drink. If yes: type, how much, how often.
- Present, past occupations:
• Rubber industry (bladder CA 2° to aromatic amines).
- Travel to Africa (bladder CA 2° to schistosomiasis).
- Who is with you there at home.
- Any other factors that you wish to mention?
- Prescriptions currently on.
- Steroids, immunosuppressants, drugs with disturb renal-function.
- Over-the-counters.
- Recreational drugs.
- Any hormone drugs.
- Allergies, including latex allergy (condom).
- Allergies to drugs: allergic reaction or common side effect.
Urogenital (M) Exam »