Lady with urinary Sx of frequency and dysuria. No haematuria, flank pain of
sweats. No other illnesses or allergies. Discuss management (trimethoprim
and fluids).
1- Introduction, full name and role
2- Establish reason for patients visit
3- Establish duration of urinary problems
4- Establishes history of similar episodes
5- Establish symptoms of urinary tract infection- dysuria, frequency, nocturia, fever, colour of
urine, any smell, urge, incontinence, pain in back, pelvis, tummy, uncontrollable shivering,
nausea, vomiting, diarrhoea
6- Establish associated-fever and rigors, n+v, peripheral oedema, haematuria, cancer-( malaise,
lethargy, anorexia, weight loss, night sweats)
7- For women- gynae (menstrual cycle, any changes, any pain, discharge, pelvic infections,
abdominal or obstetric injuries)
8- Bowel habits (any changes, how often, constipation, diarrhoea)
9- Establish symptoms of polycystic kidney disease:
- Loin pain (character and nature of pain)
- haematuria
- Features of hypertension
10- Ask about passage of renal stones
11- Pmh diabetes, pregnancy, kidney disease, foreign body-catheter, weakened immune system,
over 65)- past medical history and drug history (ACE-I).
12- Establishes family history of renal disease
13- Establishes mother and dad of SAH
14- Illicit patients concerns and response sensitively
15- Uses an appropriate questioning technique
16- Avoids or explain jargon
17- Summarises history back to patient, including concerns
18- Systematic organised approach
19- Makes reasonable attempt at diagnosis
sweats. No other illnesses or allergies. Discuss management (trimethoprim
and fluids).
1- Introduction, full name and role
2- Establish reason for patients visit
3- Establish duration of urinary problems
4- Establishes history of similar episodes
5- Establish symptoms of urinary tract infection- dysuria, frequency, nocturia, fever, colour of
urine, any smell, urge, incontinence, pain in back, pelvis, tummy, uncontrollable shivering,
nausea, vomiting, diarrhoea
6- Establish associated-fever and rigors, n+v, peripheral oedema, haematuria, cancer-( malaise,
lethargy, anorexia, weight loss, night sweats)
7- For women- gynae (menstrual cycle, any changes, any pain, discharge, pelvic infections,
abdominal or obstetric injuries)
8- Bowel habits (any changes, how often, constipation, diarrhoea)
9- Establish symptoms of polycystic kidney disease:
- Loin pain (character and nature of pain)
- haematuria
- Features of hypertension
10- Ask about passage of renal stones
11- Pmh diabetes, pregnancy, kidney disease, foreign body-catheter, weakened immune system,
over 65)- past medical history and drug history (ACE-I).
12- Establishes family history of renal disease
13- Establishes mother and dad of SAH
14- Illicit patients concerns and response sensitively
15- Uses an appropriate questioning technique
16- Avoids or explain jargon
17- Summarises history back to patient, including concerns
18- Systematic organised approach
19- Makes reasonable attempt at diagnosis
