Historytaking 120103120108-phpapp02

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History taking of KUB.

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Historytaking 120103120108-phpapp02

  1. 1. HISTORY TAKING KUB
  2. 2. <ul><li>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 </li></ul>
  3. 3. <ul><li>Urinary tract Infection. (UTI </li></ul><ul><li>Kidney Stones </li></ul><ul><li>polycystic kidney disease </li></ul><ul><li>Nephrotic Syndrome </li></ul><ul><li>Renal Failure </li></ul><ul><li>(Long-standing High Blood Pressure (hypertension ) ,Diabetes & Drugs and Toxins ) </li></ul><ul><li>. Prostate (B.P.H ) </li></ul>
  4. 4. PRSENTING COMPLAINTS <ul><li>Burning or Pain With Urination ( Dysuria ) </li></ul><ul><li>Flank Pain </li></ul><ul><li>Swelling (edema) Puffiness around the eyes, swelling of the hands and feet </li></ul><ul><li>Increased Urination </li></ul><ul><li>Urinating at night </li></ul><ul><li>Hesitating, Straining and Dribbling. </li></ul><ul><li>Urgency </li></ul>
  5. 5. PRSENTING COMPLAINTS 8.Incontinence 9.Blood in Urine (hematuria) 10.Changes in color or Odor in Urine.
  6. 6. <ul><li>Renal Stone </li></ul><ul><li>Flank Pain (radiating to groin), Nausea & vomiting, pyuria, </li></ul><ul><li>dysuria </li></ul><ul><li>. UTI (Burning, frequency, urgency, Pyuria, Fever) </li></ul><ul><li>. Benign prostatic hypertrophy B.P.H </li></ul><ul><li>( Nocturia, frequency, hesitancy, straining Dribbling after urination </li></ul><ul><li>. Renal failure, </li></ul><ul><li>malaise, low grade fever, Anemia ,Edema </li></ul>
  7. 7. HISTORY TAKING Renal Stone
  8. 8. Communication skill Introduction & Greeting
  9. 9. PATIENTS PROFILE <ul><li>NAME </li></ul><ul><li>AGE </li></ul><ul><li>GENDER </li></ul><ul><li>MARITAL STATUS </li></ul><ul><li>OCCUPATION </li></ul><ul><li>ADDRESS </li></ul>
  10. 10. Chief Complaints
  11. 11. HISTORY OF PRESENT ILLNESS <ul><li>DESCRIBE IN DETAIL EACH PRESENTING COMPLAINTS AND FOLLOW SEQUENCE OF OCCURENCE </li></ul>
  12. 12. <ul><li>Pain (Location,Intensity,Quality,Frequency,Radiation, </li></ul><ul><li>Aggravating & precipitating Factors </li></ul><ul><li>relieving </li></ul><ul><li>. Associated problems ,Fever, vomiting </li></ul><ul><li>Dysuria Pyuria , hematuria </li></ul>
  13. 13. SYSTEMIC INQUIRY <ul><li>GENERAL </li></ul><ul><li>CVS </li></ul><ul><li>RESPIRATORY </li></ul><ul><li>GIT </li></ul><ul><li>GENITOUNIARY </li></ul><ul><li>CNS </li></ul><ul><li>LOCOMOTOR </li></ul>
  14. 14. PAST HISTORY <ul><li>MEDICAL HISTORY(HTN, diabetes,Renal stone, UTI, Gout ) </li></ul><ul><li>SURGICAL HISTORY </li></ul><ul><li>CONGENITAL ANOMALIES </li></ul>
  15. 15. FAMILY HISTORY <ul><li>Ask about hypertension, ischaemic heart disease, strokes, diabetes, Renal failure, Cancer in the family. </li></ul><ul><li>Renal stone </li></ul>
  16. 16. PERSONAL HISTORY <ul><li>LIFESTYLE </li></ul><ul><li>Smoking: ever smoked, how many per day, for how long, type [cigarette, pipe, chew]. </li></ul><ul><li>Alcohol </li></ul><ul><li>Occupation: stress, work interruption. </li></ul><ul><li>Sleep disturbances </li></ul><ul><li>Diet </li></ul><ul><li>What types of foods do you eat </li></ul><ul><li>How much fluid do you drink? </li></ul><ul><li>Do you drink grapefruit juice? </li></ul><ul><li>Activity levels . </li></ul><ul><li>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 ? </li></ul><ul><li>. Weight gain ( edema) </li></ul>
  17. 17. DRUG HISTORY <ul><li>Diabetic drugs. </li></ul><ul><li>Steroids. </li></ul><ul><li>Antibiotics. </li></ul><ul><li>Allergies. </li></ul><ul><li>Allergies to drugs, dyes. </li></ul>
  18. 18. SOCIO ECONOMIC HISTORY <ul><li>PATIENTS ECONOIMIC STATUS </li></ul>

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