Page 53 - LECTURETTE TOPICS eBOOK

UROGENITAL SYSTEM

Relevant History. Enquiry should be made about any alteration in

micturition, e.g. dysuria or frequency. Recurrent attacks of cystitis;
pyelonephritis and haematuria must be excluded. Detailed enquiry must be

made about any history of renal colic, attacks of acute nephritis, any
operation on the renal tract including loss of a kidney, passing of stones or

urethral discharges. If there is any history of enuresis, past or present, full
details must be obtained.

Urine Examination.

(a) Proteinuria. Proteinuria will be a cause for rejection, unless it proves to
be orthostatic.

(b) Glycosuria. When glycosuria is detected, a blood sugar examination
(Fasting and after 75 g glucose) and Glycosylated Hb is to be carried out,

and fitness decided as per results. Renal glycosuria is not a cause for
rejection.

(c) Urinary Infections. When the candidate has history or evidence of
urinary infection it will entail full renal investigation. Persistent evidence of

urinary infection will entail rejection.
(d) Haematuria. Candidates with history of haematuria will be subjected to

full renal investigation.
1.6.3. Glomerulonephritis.

(a) Acute. In this condition there is a high rate of recovery in the acute phase,
particularly in childhood. A candidate who has made a complete recovery

and has no proteinuria may be assessed fit, after a minimum period of one

year after full recovery.
(b) Chronic. Candidate with chronic glomerulonephritis will be rejected.

Renal Colic and Renal Calculi. Complete renal evaluation is required.

Candidates with renal calculi will be rejected.

Absence of Kidney. All candidates found to have congenital absence of one
kidney or who have undergone unilateral nephrectomy will be rejected.

Presence of horseshoe kidney will entail rejection. Solitary functioning kidney
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