Page 14 - SSB MED 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.