Hematuria.pdf
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🔸DDx.
🔸Focused Hx ( important Q. ) :
- at the beginning of micturition or at the end or throughout?
-feel pain or burning during micturition?
- associated with frequency, urgency or hesitancy?
- have loin pain? radiate to the groin? have pain in lower abdomen or generalized abdominal pain?
❗️ (If the patient complains of any pain, take detailed history ..)
- noticed bleeding from any other part of the body?
- have fever?
❗️ (If yes, take detailed history of fever).
- associated with nausea or vomiting?
- noticed any rash? Is it associated with joint pain and swelling?
- Did you ever pass stones previously?
- Did you suffer from any kind of trauma?
- Did you suffer from skin infection or sore throat recently?
- have hypertension, exertional breathlessness and swelling of the body?
- In female, enquire whether she is menstruating.
- ask about Drug hx / PMH / hx of renal diseases in his family / Exposure to radiation / travel
🔸DDx.
🔸Focused Hx ( important Q. ) :
- at the beginning of micturition or at the end or throughout?
-feel pain or burning during micturition?
- associated with frequency, urgency or hesitancy?
- have loin pain? radiate to the groin? have pain in lower abdomen or generalized abdominal pain?
❗️ (If the patient complains of any pain, take detailed history ..)
- noticed bleeding from any other part of the body?
- have fever?
❗️ (If yes, take detailed history of fever).
- associated with nausea or vomiting?
- noticed any rash? Is it associated with joint pain and swelling?
- Did you ever pass stones previously?
- Did you suffer from any kind of trauma?
- Did you suffer from skin infection or sore throat recently?
- have hypertension, exertional breathlessness and swelling of the body?
- In female, enquire whether she is menstruating.
- ask about Drug hx / PMH / hx of renal diseases in his family / Exposure to radiation / travel
📌 Keep in your Mind :
↪️ The first priority is to determine whether the discoloration is due to blood in the urine or another cause.
↪️ All patients with even a single episode of gross hematuria should receive a thorough history and physical examination
followed by urologic or nephrologic evaluation .
*Both microscopic and gross hematuria can be manifestations of serious disease, including malignancy.
↪️Even in patients with transient causes, if there are significant risk factors for malignancy, further evaluation should be considered.
↪️ older men with microscopic or gross hematuria are more likely to have a genitourinary malignancy, diagnostic evaluation should be pursued even in the presence of nocturia, polyuria, and decreased force of urinary stream ( suggestive of BPH ).
↪️ The first priority is to determine whether the discoloration is due to blood in the urine or another cause.
↪️ All patients with even a single episode of gross hematuria should receive a thorough history and physical examination
followed by urologic or nephrologic evaluation .
*Both microscopic and gross hematuria can be manifestations of serious disease, including malignancy.
↪️Even in patients with transient causes, if there are significant risk factors for malignancy, further evaluation should be considered.
↪️ older men with microscopic or gross hematuria are more likely to have a genitourinary malignancy, diagnostic evaluation should be pursued even in the presence of nocturia, polyuria, and decreased force of urinary stream ( suggestive of BPH ).
Approach to || R.D.
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- مصدر الـ approach ، والـ playlist يلي مسويته بقناة اليوتيوب بيه فيديوات لقنوات مرتبة اطلعوا عليها ، وثنينهم موجودين بأول البوستات داخل القناة تكدرون تستعملوهم وية الصورة النزلتها لأهم مواضيع وتقرون حسب وقتكم .
https://t.me/ApproachSOMS
🔺 لتوضيح صار ابديت ع البوست ، شفت هيج طريقة كـ systems ارتب ومنظمة اكثر و اي ابديت راح ينضاف ع البوست وايضا ع بلي ليست اليوتيوب .
- مصدر الـ approach ، والـ playlist يلي مسويته بقناة اليوتيوب بيه فيديوات لقنوات مرتبة اطلعوا عليها ، وثنينهم موجودين بأول البوستات داخل القناة تكدرون تستعملوهم وية الصورة النزلتها لأهم مواضيع وتقرون حسب وقتكم .
https://t.me/ApproachSOMS
🔸Focused Hx ( important Q. ) :
-How long have you been suffering from cough?
- paroxysmal or persistent?
- dry or productive?
-When does the cough get worse? (day or night)
- What is the character of cough?
- If productive of sputum, ask about its amount, color, odor, time of sputum production (morning), presence of blood and relation to posture change.
- associated with hemoptysis? If yes, fresh or altered blood?
-associated with chest pain, dyspnea?
- Is the cough aggravated by dust, cold air, smoke or pollen ?
- occur after eating or drinking?
- Are you taking any drug? (such as ACE inhibitor).
- Do you have diseases, such as rhinitis, asthma, heart disease, renal disorder ?
-How long have you been suffering from cough?
- paroxysmal or persistent?
- dry or productive?
-When does the cough get worse? (day or night)
- What is the character of cough?
- If productive of sputum, ask about its amount, color, odor, time of sputum production (morning), presence of blood and relation to posture change.
- associated with hemoptysis? If yes, fresh or altered blood?
-associated with chest pain, dyspnea?
- Is the cough aggravated by dust, cold air, smoke or pollen ?
- occur after eating or drinking?
- Are you taking any drug? (such as ACE inhibitor).
- Do you have diseases, such as rhinitis, asthma, heart disease, renal disorder ?
📌 Keep in your Mind :
↪️ The first step is to assess for alarm symptoms. Next, define
the duration of the symptoms. Although most cases of acute
cough are due to viral infections and other benign diagnoses,
serious causes of cough may also present acutely.
↪️ In elderly patients, acute cough may be the manifestation of left ventricular failure (chronic heart failure) or aspiration
↪️ The first step is to assess for alarm symptoms. Next, define
the duration of the symptoms. Although most cases of acute
cough are due to viral infections and other benign diagnoses,
serious causes of cough may also present acutely.
↪️ In elderly patients, acute cough may be the manifestation of left ventricular failure (chronic heart failure) or aspiration