HISTORY TAKINGHISTORY TAKINGKUBKUB

HISTORY TAKINGHISTORY TAKINGKUBKUB

• Symptoms that are more suggestive of a kidney or urinary problem include pain in the side (flank), swelling of the lower extremities, and problems with urination

• Urinary tract Infection. (UTI • Kidney Stones • polycystic kidney disease • Nephrotic Syndrome • Renal Failure (Long-standing High Blood

Pressure (hypertension ) ,Diabetes &Drugs and Toxins )

. Prostate (B.P.H )

PRSENTING COMPLAINTS1.Burning or Pain With Urination ( Dysuria )

2.Flank Pain 3.Swelling (edema)

Puffiness around the eyes, swelling of the hands and feet

4.Increased Urination5.Urinating at night6.Hesitating,

Straining and Dribbling.

7.Urgency

PRSENTING COMPLAINTS

8.Incontinence9.Blood in Urine

(hematuria)10.Changes in color

or Odor in Urine.

• Renal Stone Flank Pain (radiating to groin), Nausea &

vomiting, pyuria, dysuria. UTI (Burning, frequency, urgency, Pyuria, Fever).Benign prostatic hypertrophy B.P.H ( Nocturia, frequency, hesitancy, straining

Dribbling after urination. Renal failure, malaise, low grade fever, Anemia ,Edema

HISTORY TAKINGHISTORY TAKINGRenal StoneRenal Stone

HISTORY TAKINGHISTORY TAKINGRenal StoneRenal Stone

Communication skillCommunication skillIntroduction & GreetingIntroduction & Greeting

Communication skillCommunication skillIntroduction & GreetingIntroduction & Greeting

PATIENTS PROFILEPATIENTS PROFILEPATIENTS PROFILEPATIENTS PROFILE•NAMENAME•AGEAGE

•GENDERGENDER•MARITAL STATUSMARITAL STATUS

•OCCUPATIONOCCUPATION•ADDRESSADDRESS

Chief ComplaintsChief Complaints

HISTORY OF PRESENT ILLNESS

• DESCRIBE IN DETAIL EACH PRESENTING COMPLAINTS AND FOLLOW SEQUENCE OF OCCURENCE

• Pain (Location,Intensity,Quality,Frequency,Radiation,

Aggravating & precipitating Factors relieving. Associated problems ,Fever,

vomiting Dysuria Pyuria , hematuria

SYSTEMIC INQUIRY• GENERAL• CVS • RESPIRATORY• GIT• GENITOUNIARY• CNS• LOCOMOTOR

PAST HISTORY

• MEDICAL HISTORY(HTN, diabetes,Renal stone, UTI, Gout )

• SURGICAL HISTORY • CONGENITAL ANOMALIES

FAMILY HISTORY

• Ask about hypertension, ischaemic heart disease, strokes, diabetes, Renal failure, Cancer in the family.

• Renal stone

PERSONAL HISTORY• LIFESTYLE• Smoking: ever smoked, how many per day, for how long, type

[cigarette, pipe, chew]. • Alcohol • Occupation: stress, work interruption. • Sleep disturbances • Diet What types of foods do you eat How much fluid do you drink? Do you drink grapefruit juice?• Activity levels. How active are you? Do you get a lot of exercise or play sports?

Do you have a job where you are active, or where you are sitting?

. Weight gain ( edema)

DRUG HISTORY

• Diabetic drugs. • Steroids. • Antibiotics. • Allergies. • Allergies to drugs, dyes.

SOCIO ECONOMIC HISTORY

• PATIENTS ECONOIMIC STATUS