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The medical history will be obtained, and a physical examination performed.
Medical history questions documenting decreased urine output in detail may include:
- Time pattern
- When did this begin?
- Did it occur suddenly?
- Has it rapidly become worse?
- Quality
- How much fluid is consumed each day?
- How much urine is produced each day?
- What color is the urine?
- Aggravating factors
- Has there been fever?
- Has there been diarrhea?
- Has there been vomiting? With or without nausea?
- Is thirst decreased?
- Other
- Does increasing fluid intake increase urine output?
- What other symptoms are also present?
- Is there puffiness in the skin, around the eyes, or in the hands or feet?
- Is there moist, pink, warm skin?
- Is there loose, dry, pale skin?
- Are the lips and mouth dry?
- Is there a distended bladder (can you feel a firm bulge in the pelvis over the pubic bone)?
- What medications are being taken?
- Are there any allergies?
- Are adequate fluids available and accessible?
- Past history
- Have there been any recent injuries such as burns?
- Have there been any recent illnesses?
- Have there been previous problems with the kidneys or bladder?
A catheter may be placed in the urinary bladder to relieve an obstruction and to assist with careful measurement of urine output. Some patients need to be hospitalized for fluid management.
Diagnostic tests that may be performed include:
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