1. Presenting complaint
2. History of presenting complaint
3. Sexual history
4. Urinary history
5. Past medicalsurgical history
6. Familysocialdrug history

Presenting complaint

• What is the problem lately [pt. may omit sexual itemscover withquestions].

History of presenting complaint

• SOCRATES.
• Discharge: colourconsistencyamount.
• Weight changes.
• Feverish.
• Itchdrynessirritation: relieved by cream?
• Hirsutismhair loss: severityhow controlled.
• Does it interfere with your day-to-day life.
• General health: good?

Sexual history

• Sexually active.
• Any physicalother difficulties during intercourse.
• Pain duringafter intercourse: 
  • Deep vs. superficial
  • Always vs. sometimes.
• Painful erections (priapism).
• On erectionabnormal bend.

Urinary history

• Colour change.
• Blood in urine.
• Painburning sensation.
• Frequencyurgency  nocturia
• Amount changes.
• Feeling of incomplete emptying.
• Hesitancydribbling.
• Incontinenceoverflow incontinencestress incontinence.

Past medicalsurgical history

• Similar problem in the past. If sohow treated.
• Previous operationsrecent groin injuries.
• Seen a urologist before?
• UTIsurinary obstructions.
• STD's.
• Hypertension.
• Hemophiliaother bleeding disorders.
• TBappendicitis. 
• Diabetesgout [urinary].
• Childhood bedwetting after 3 [urinary].
• MIcerebrovascular dz [urinary].
• Impotency treatments [if impotent].

Family history

• The current complaint in parents or siblings: healthcause of deathage ofonsetage of death.
• Hereditary dz suspected: do a family tree.
• Thyroid dzdiabetes.
• ADKDAlport's [urinary].

Social history

• Smoking: ever smokedhow many per dayfor how longtype [cigarettepipechew] (bladder CA).
• Alcohol: do you drink. If yes: typehow muchhow often.
• Presentpast 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?

Drug history

• Prescriptions currently on.
• Steroidsimmunosuppressantsdrugs with disturb renal-function.
• Over-the-counters.
• Recreational drugs.
• Any hormone drugs.
• Allergiesincluding latex allergy (condom).
• Allergies to drugs: allergic reaction or common side effect.

Urogenital (M) Exam »

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