Physical Examination

KEY POINTS

• Renal disease may be asymptomatic or present with non-specific symptoms, e.g. tiredness.

• Genitourinary complaints can be embarrassing and need specific enquiry to avoid overlooking important problems.

• Painless visible haematuria in the adult is most often due to a bladder papilloma or carcinoma.

• Symptoms of prostatism are common and develop slowly; in consequence, patients often underestimate their significance.

• Complete anuria is rare; most patients who stop passing urine have bladder neck obstruction.

• Testicular pain may be referred to the groin and lower abdomen.

• The commonest cause of secondary amenorrhoea is pregnancy, bul it may Indicate severe systemic illness, an endocrinological disorder or a psychological problem.

• Sexual dysfunction and sexually transmitted disease occurs at any age and in any social setting.

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Coping with Asthma

Coping with Asthma

If you suffer with asthma, you will no doubt be familiar with the uncomfortable sensations as your bronchial tubes begin to narrow and your muscles around them start to tighten. A sticky mucus known as phlegm begins to produce and increase within your bronchial tubes and you begin to wheeze, cough and struggle to breathe.

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