Urological History

INTRODUCTION

1 Introduces themselves

2 Confirms patient details

3 Establishes presenting complaint using open questioning

HISTORY OF PRESENTING COMPLAINT

4 Asks about pain (SOCRATES)

5 Onset of symptoms

6 Duration of symptoms

7 Severity of symptoms

8 Course of symptoms

9 Exacerbating / Relieving factors

10 Previous episodes of the symptom

11 Elicits patient’s ideas, concerns and expectations

KEY UROLOGICAL SYMPTOMS

12 Dysuria

13 Frequency

14 Urgency

15 Nocturia

16 Haematuria

17 Hesitancy and terminal dribbling

18 Poor urinary stream

19 Urinary incontinence

20 Fevers / Rigors

21 Nausea / Vomiting

PAST MEDICAL HISTORY

22 Previous urological disease

23 Other medical history

24 Surgical history

DRUG HISTORY

25 Prescribed medications

26 Over the counter medication

27 ALLERGIES

FAMILY HISTORY

28 Urological disease (e.g. renal stones)

SOCIAL HISTORY

29 Smoking history / Alcohol intake / Recreational drug use

30 Home situation / Level of functional independence

31 Occupation

SYSTEMIC ENQUIRY

32 Screens for symptoms in other body systems

CLOSING THE CONSULTATION

33 Thanks patient

34 Summarises salient points of the history

KEY COMMUNICATION SKILLS

35 Active listening

36 Summarising

37 Signposting

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