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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?
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