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Atallah A. Shaaban<br />
44<br />
<strong>Basic</strong> <strong>Urology</strong><br />
General Examination<br />
Note the general appearance while talking.<br />
Hands and radial pulse.<br />
Face and mouth.<br />
Neck.<br />
Chest and heart.<br />
Lower limbs (edema, circulation, loco-motor functions and<br />
neurological).<br />
Abdominal examination.<br />
Scrotum.<br />
Pelvic examination.<br />
Height and weight (BMI).<br />
Urinalysis.<br />
Examination of the face:<br />
1- Uremia:<br />
- Sallow complexion (a dirty brown appearance or uremic tinge) due<br />
to impaired excretion of urochromes and anemia.<br />
- Hyperventilation: metabolic acidosis.<br />
- Hiccup.<br />
- Uremic fetor: ammoniacal fish breath due to breakdown of urea in<br />
saliva.<br />
- Eyes:<br />
Anemia.<br />
Jaundice.
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