Irritable Bladder (Urethral Syndrome): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

• General physical examination – including blood pressure, pulse, body weight, height; further:
  • Inspection (viewing).
    • Skin and mucous membranes
  • Palpation (palpation) of the abdomen (abdominal) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bearing knocking pain?) [Leading symptom: diffuse lower abdominal pain.]
• Neurological examination [due todifferential diagnoses:
  • Apoplexy (stroke)
  • Parkinson’s disease (so-called: shaking paralysis or tremor paralysis) – is a slowly progressive neurological disease.
  • Multiple sclerosis (neurological disease that leads to multiple damage to the central nervous system due to a chronic inflammatory response)]
• If necessary, psychiatric examination [due todifferential diagnoses: psychosomatic complaints].
• Urological examination [due todifferential diagnoses:
  • Bladder outlet stenosis (narrowing of the bladder outlet).
  • Foreign body in the bladder
  • Urethritis (inflammation of the urethra)
  • Cystitis (urinary bladder infection)]

  [due topossible secondary disease: functional shrinkage bladder]

• Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.