Section 19 — Urine and urination

The bladder is situated behind and extends a little above the bone in the middle lower abdomen. If painful describe as in Section 6.

Describe any feeling or sensation as in Section 4.

Have you ever had any blow or injury in this region ?

Have you ever retained the urine too long, or till it became painful ?

Any swelling or distension ?

Is it hot or inflammed ?

Any soreness or ten derness ?

Any bearing down pressure ?

Any sense of weakness ?

Any sense of uneasiness ?

Describe any trouble, pain or sensation in the urethra (the canal through which the urine passes). Describe any discharge from the urethra as in Section 7. Consult also the questions in Sections 36 and 37.

The kidneys are located on either side of the backbone (spinal column) in front of and more to the upper part of the small of the back, a little above the level of the navel. Describe any pain, sensation or trouble in the region of the kidneys as in Sections 6, 4 and 5.

Urination, (the act of passing urine).

Does the desire to pass urine come on at any particular time, or from any known cause ?

Is there any pain with the desire ? (Section 6.)

Does the urine flow easier in any particular position or under any special circumstances ?

Do you have desire to pass urine but cannot ?

Does it flow freely in a stream, or in drops ?

Does it flow at once or must you wait ?

Is there any thing that you must do to help the flow starrt ?

Does it flow slowly or come in a gush ?

Is the desire urgent or can you easily wait ?

Have you involuntary urination during the day, at night, while coughing, sneezing, or at any time ?

What part of the night do you wet the bed ?

Is there any dribbling or leakage ?

At what time do you have most desire to urinate ?

Do you have to get up at night ?

How often ?

Can you pass urine without stool or stool without urine ?

Have you no desire to pass urine ?

Have you no passage of urine and yet no inconvenience ?

Do you feel the stream when passing ?

Does the flow intermit, start and stop ?

Any straining to pass ?

Is the stream even or divided ?

Before urination. Describe any trouble, pain, etc., that always comes on just before the flow starts. Describe pain as in Section 6.

Is there any burning before the flow starts ?

Describe and locate it.

Is there any pressure ?

Any discharge other than urine ?

Be as explicit as you can as to these troubles.

During urination.

Describe every trouble that accompanies the flow, or that comes on during the flow.

Describe pain as in Section 6.

Describe the burning minutely and locate it.

Give the peculiar sensations as in Section 4.

Do you have any chill, chilliness, any discharge other than the urine, faint feeling, pain anywhere, shuddering, etc.

After urination. The same as above.

The urine.

Is the urine acrid (corroding), black, bloody, brown, burning, changeable in color, clear (limpid, no sediment or color), cloudy, like coffee, cold when passed pellicle or scum on it, dark, decomposes rapidly, decreased in quantity, flaky, foamy, frothy, frothy like fine glue, dirty gray, greenish, high colored, hot, increased in quantity (profuse), jelly-like, light colored, milky, muddy, pale, red, scalding, scanty, smoky, straw-colored, suppressed, thick, turbid, violet color, watery, like whey, white yellow ?

Mention any difference when first passed and after standing ?

What is the smell or odor ?

Do you pass gravel ?

Describe the sediment (the substance that falls to the bottom of the vessel) very carefully as to the Amount, color, consistency, appearance, whether it varies, and other facts that you may notice.

Does the sediment adhere tightly to the vessel ?

What is the color, consistency and appearance of that which adheres ?