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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