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Assessment of pain the location, character, and duration of pain, if present, and its relationship to voiding; factors that

precipitate pain, andthose that relieve it Kidney pain at Costovertebral angle, may extend to umbilicus painis severe, sharp, stabbing, and colicky in nature it can be due to Acuteobstruction, kidney stone, blood clot, acute pyelonephritis, trauma Bladder pain - Suprapubic area Dull, continuous pain, may be intensewith voiding, may be severe if bladder full it can be caused byOverdistended bladder, infection, interstitial cystitis; tumor Ureteral painCostovertebral angle, flank, lower abdominal area,testis, or labium it is Severe, sharp, stabbing pain, colicky in nature itmay be Ureteral stone, edema or stricture, blood clot Urethral painMale: along penis to meatus; female: urethra to meatusPain variable, most severe during and immediately after voiding it can be Irritation of bladder neck, infection of urethra, trauma, foreign body inlower urinary tract 5 Prostatic painPerineum and rectum pain vague discomfort, feeling of fullness in perineum, vague back pain it can be due to Prostatic cancer,acute or chronic prostatitisHistory of urinary tract infections, including past treatment or hospitalization for urinary tract infectionFever or chillsPrevious renal or urinary diagnostic tests or use of indwelling urinarycatheters

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