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{{familytree/start}}
{{familytree/start |summary=Sample 1}}
{{familytree | | | | | | | A01 | | A01= <div style="float: left; text-align: left; width: 28em; padding:1em;">'''History and Physical Eexamination'''<br>
{{familytree | | | | | | | | A01 |A01=Edema}}  
Ask for [[urinary]] [[symptoms]] such as:<br>
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }}
❑ [[Dysuria]]<br>
{{familytree | | | B01 | | | | | | | | B02 | | |B01=Localized|B02=Generalized}}
❑ [[Hematuria]]<br>
{{familytree | |,|-|^|.| | | | | | | | |!| }}
Physical Examination should asses for the presence of:<br>
{{familytree | D01 | | D02 | | | | | | D03 |D01=Unilateral|D02=Bilateral|D03=D03}}
❑ [[Hypotension]]<br>
{{familytree | |!| | | |!| | | | | | |,|^|-|.| }}
❑ [[Pallor]]<br>
{{familytree | E01 | | |!| | | | | | E02 | | E03 |E01=E01|E02=E02|E03=E03}}
❑ [[Edema]]<br>
{{familytree | | | |,|-|^|-|.| | | | |!| | | |!| }}
❑ Muffled [[heart sounds]]<br>
{{familytree | | | F00 | | F02 | | | F01 | | F03 |F00=F01=F01|F02=F02|F03=}}
❑ [[Swollen]] [[joints]]<br>
{{familytree/end}}
❑ [[Organomaegally]]<br>
❑ [[Lymphadenopathy]]<br>
❑ [[Abdominal]] and [[pelvic]] examination<br>
:❑ Digital [[rectal]] examination<br>
:❑ [[Vaginal]] examination (in female)<br>
</div>}}
{{familytree | | | | | | | |!| | | | | | | | | }}
{{family tree| | | | | | | B01 | | | | B01=<div style="float: left; text-align: left;width: 28em; padding:1em;"> '''Laboratory Investigations'''<br>
Check for [[urinanalysis]] and [[urine]] cullture<br>
❑ Midstream clean catch is preferred.<br>
❑ Avoid the use of antiseptic solutions prior to collection.<br>
Check routine [[blood]] tests such as:<br>
❑ [[Complete blood count]]<br>
❑ [[Liver function test]]<br>
❑ Renal function test<br>
Perform a [[vaginal]] swab in sexually active [[patients]]<br>
❑ [[Chlamydia]]<br>
❑ [[Gonorrhoea]]<br>
In case of suspicion to [[urinary]] [[tuberculosis]]:<br>
❑ Consider 3 consecutive first-void morning samples for<br>acid-fast bacilli and [[polymerase chain reaction]] (PCR) testing<br>
In case of suspicion to [[schistosomiasis]]:<br>
❑ Consider collecting a terminal [[urine]] sample between noon and 3 pm<br>
</div> }}
{{familytree | | | | | | | |!| | | | | | | | | }}
{{family tree| | | | | | | C01 | | | | C01=<div style="float: left; text-align: left;width: 28em; padding:1em;"> '''Other Investigations'''<br>
Consider [[urinary tract]] [[ultrasound]] or [[computed tomography]]:<br>
❑ If suspicious for [[renal stone]]<br>
❑ If suspicious for [[masses]]<br>
❑ If suspicious for [[nephritis]]<br>
Consider flexible [[cystourethroscopy]] and tissue biopsy:<br>
❑ If suspicious for [[neoplasm]]
</div> }}
{{familytree/end}} <br>

Revision as of 03:23, 23 August 2020

 
 
 
 
 
 
 
Edema
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Localized
 
 
 
 
 
 
 
Generalized
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Unilateral
 
Bilateral
 
 
 
 
 
D03
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
E01
 
 
 
 
 
 
 
 
 
E02
 
E03
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
F01=F01
 
F02
 
 
{{{ F01 }}}