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Questionnaire
ARE YOU READY? WE WILL TALK ABOUT
THE MEDICAL SEMIOLOGY GUIDE TO THE RENAL SYSTEM
C H A P T E R
1 Questionnaire O U T L I N E Macroscopic Hematuria
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Bladder Cancerdpainless Hematuria
8
Urinary Probe for Macroscopic Hematuria
6
Abnormal Urine
9
Two Big Stones in the Bladder of a Patient With Painful Hematuria
7
Abnormal Urine
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Medical Semiology Guide of the Renal System https://doi.org/10.1016/B978-0-12-819639-7.00001-9
2
© 2020 Elsevier Inc. All rights reserved.
1. Questionnaire
3
4
1. Questionnaire
1. Do you have lumbar pain?
1. Questionnaire
2. Does the pain move to the ureter side, as in the following image?
3. Does the pain spread into the iliac fossa? 4. Do you urinate frequently? 5. Do you have pain or a burning sensation during urination? 6. Does your urine sometimes contain fresh blood, as in the following images?
5
6
1. Questionnaire
Macroscopic Hematuria
Urinary Probe for Macroscopic Hematuria
7. If you urinate with fresh blood (macroscopic hematuria), is it with pain or without pain? Painful hematuria suggests kidney stones or bladder stones.
Two Big Stones in the Bladder of a Patient With Painful Hematuria
Two Big Stones in the Bladder of a Patient With Painful Hematuria
Painless hematuria suggests cancer: kidney cancer or bladder cancer
7
8
1. Questionnaire
Bladder Cancerdpainless Hematuria
8. Does your urine ever contain pus, or appear abnormal, as in the following image ?
Abnormal Urine
Abnormal Urine
9. Do you urinate during the night? 10. Do you have to strain to urinate? 11. Have you ever urinated drop by drop? 12. Have you ever noticed a decrease in the urine force or usual speed? 13. Do you have any family members with adenoma or prostate adenocarcinoma? All these symptoms suggest the diagnosis of adenoma or adenocarcinoma of the prostate. 14. Do 15. Do 16. Do 17. Do 18. Do 19. Do
you you you you you you
have have have have have have
any family any family any family any family any family any family
members members members members members members
with kidney stones or kidney cancer? with polycystic kidney? with congenital kidney disease? with chronic renal failure? who have had a kidney transplant? with acute renal failure?
9
10 20. 21. 22. 23. 24. 25. 26. 27.
1. Questionnaire
Do Do Do Do Do Do Do Do
you you you you you you you you
work in conditions of high humidity, with excessive sweating that causes dehydration? sweat a lot at your workplace? have frequent urination, pain during urination, chills, and fever? work in an environment with pesticides? have any family members with tuberculosis? sometimes experience moments when you cannot urinate? sometimes experience a globular bladder, retention of the urine? sometimes experience the loss of bladder control (involuntary urination)?
This is urinary incontinence. 28. Do you sometimes have renal colic after traveling with trepidations? 29. Do you ever find a stone in your urine after renal colic, as in the image below?
30. Do you ever find sand in your urine? 31. Have you ever noticed abnormal urine, such as in the following image below?
Abnormal Urine
Abnormal Urine
Abnormal urine suggests a urinary tract infection 32. Have you had a kidney transplant? 33. Do you have any autoimmune diseases? 34. Do you have diabetes mellitus? 35. Do you have high blood pressure? 36. Have you been diagnosed with a lateral murmur of the umbilicus? This suggests a renal artery stenosis. 37. Have you undergone any surgical kidney procedures? 38. Have you undergone a lithotripsy procedure for the elimination of kidney stones? 39. Do you drink enough water (liquids), 1e2 L every 24 h?
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THE MEDICAL SEMIOLOGY GUIDE TO THE RENAL SYSTEM
C H A P T E R
1 Questionnaire O U T L I N E Macroscopic Hematuria
6
Bladder Cancerdpainless Hematuria
8
Urinary Probe for Macroscopic Hematuria
6
Abnormal Urine
9
Two Big Stones in the Bladder of a Patient With Painful Hematuria
7
Abnormal Urine
11
Medical Semiology Guide of the Renal System https://doi.org/10.1016/B978-0-12-819639-7.00001-9
2
© 2020 Elsevier Inc. All rights reserved.
1. Questionnaire
3
4
1. Questionnaire
1. Do you have lumbar pain?
1. Questionnaire
2. Does the pain move to the ureter side, as in the following image?
3. Does the pain spread into the iliac fossa? 4. Do you urinate frequently? 5. Do you have pain or a burning sensation during urination? 6. Does your urine sometimes contain fresh blood, as in the following images?
5
6
1. Questionnaire
Macroscopic Hematuria
Urinary Probe for Macroscopic Hematuria
7. If you urinate with fresh blood (macroscopic hematuria), is it with pain or without pain? Painful hematuria suggests kidney stones or bladder stones.
Two Big Stones in the Bladder of a Patient With Painful Hematuria
Two Big Stones in the Bladder of a Patient With Painful Hematuria
Painless hematuria suggests cancer: kidney cancer or bladder cancer
7
8
1. Questionnaire
Bladder Cancerdpainless Hematuria
8. Does your urine ever contain pus, or appear abnormal, as in the following image ?
Abnormal Urine
Abnormal Urine
9. Do you urinate during the night? 10. Do you have to strain to urinate? 11. Have you ever urinated drop by drop? 12. Have you ever noticed a decrease in the urine force or usual speed? 13. Do you have any family members with adenoma or prostate adenocarcinoma? All these symptoms suggest the diagnosis of adenoma or adenocarcinoma of the prostate. 14. Do 15. Do 16. Do 17. Do 18. Do 19. Do
you you you you you you
have have have have have have
any family any family any family any family any family any family
members members members members members members
with kidney stones or kidney cancer? with polycystic kidney? with congenital kidney disease? with chronic renal failure? who have had a kidney transplant? with acute renal failure?
9
10 20. 21. 22. 23. 24. 25. 26. 27.
1. Questionnaire
Do Do Do Do Do Do Do Do
you you you you you you you you
work in conditions of high humidity, with excessive sweating that causes dehydration? sweat a lot at your workplace? have frequent urination, pain during urination, chills, and fever? work in an environment with pesticides? have any family members with tuberculosis? sometimes experience moments when you cannot urinate? sometimes experience a globular bladder, retention of the urine? sometimes experience the loss of bladder control (involuntary urination)?
This is urinary incontinence. 28. Do you sometimes have renal colic after traveling with trepidations? 29. Do you ever find a stone in your urine after renal colic, as in the image below?
30. Do you ever find sand in your urine? 31. Have you ever noticed abnormal urine, such as in the following image below?
Abnormal Urine
Abnormal Urine
Abnormal urine suggests a urinary tract infection 32. Have you had a kidney transplant? 33. Do you have any autoimmune diseases? 34. Do you have diabetes mellitus? 35. Do you have high blood pressure? 36. Have you been diagnosed with a lateral murmur of the umbilicus? This suggests a renal artery stenosis. 37. Have you undergone any surgical kidney procedures? 38. Have you undergone a lithotripsy procedure for the elimination of kidney stones? 39. Do you drink enough water (liquids), 1e2 L every 24 h?
11