You are seeing Mrs. Singh, a 72 year old female, in your outpatient clinic today. She tells you that she has discomfort during urination and has difficulty controlling her urine. Take a focused history of his complaint.
History
- Clarifies symptom of dysuria
- Onset of dysuria
- Urinary frequency
- Change in urine color (cloudiness, darkening)
- Presence of hematuria (none)
- Nocturia
- Urgency
- Overflow Incontinence
- Incomplete voiding
- Flank/back pain
- Abdominal discomfort/fullness/pain
- Nausea and vomiting
- Fever
- Gastrointestinal symptoms such as pain, diarrhea, blood in stool
- Pregnancy history
- Current medications (particularly anti-cholinergic medication, estrogen creams)
- Past history of urinary tract infections
- Past history of urinary incontinence and treatments
- Exposure to pool/lake/ocean water
- Recent antibiotic use
- Effect on daily life
Case 1 – Dysuria